Individual provider Active NPI

Lilia Marcelina Cid, MD

  • Family Medicine Physician
  • Rolla, ND
National Provider Identifier
1366639213
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10591 Issued in ND
Practice address
114 3Rd St NE
Rolla, ND 58367-7137
Phone
(701) 477-3111
Fax
(701) 477-6342
NPI assigned
Sep 25, 2007
Last updated
May 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10591 ND Primary

Addresses

Primary practice location

114 3Rd St NE
Rolla, ND 58367-7137

Mailing address

PO Box 699
114 NE 3Rd St
Rolla, ND 58367-0699
Phone (701) 477-3111

Other identifiers 1

IdentifierTypeStateIssuer
14424MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Presentation Medical Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1366639213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "address_2": "114 NE 3RD ST",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583670699",
            "telephone_number": "701-477-3111",
            "fax_number": "701-477-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 3RD ST NE",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583677137",
            "telephone_number": "701-477-3111",
            "fax_number": "701-477-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CID",
        "first_name": "LILIA",
        "middle_name": "MARCELINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "10591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14424",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.