NPIMap

Organization Active NPI

Dakota Boys & Girls Ranch Association

  • Psychiatric Residential Treatment Facility
  • Minot, ND
National Provider Identifier
1376501262
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DAKOTA BOYS & GIRLS RANCH ASSOCIATION
Practice address
6301 19TH Ave NW
Minot, ND 58703-8824
Phone
(701) 839-7888
Fax
(701) 852-1190
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Tammy Moreno
Title
Credentialing
Phone
(701) 364-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X ND Primary

Addresses

Primary practice location

6301 19TH Ave NW
Minot, ND 58703-8824

Mailing address

PO Box 5007
Minot, ND 58702-5007
Phone (701) 839-7888

Other identifiers 11

IdentifierTypeStateIssuer
10348OtherNDFARGO RTC
52146MedicaidND
3913OtherNDDAKOTA BOYS RANCH
54725MedicaidND
12344OtherNDWESTERN PLAINS
18078MedicaidND
50521MedicaidND
54715MedicaidND
54730MedicaidND
57550MedicaidND
54710MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Dakota Boys Girls Ranch Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1376501262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025007",
            "telephone_number": "701-839-7888",
            "fax_number": "701-852-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 19TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587038824",
            "telephone_number": "701-839-7888",
            "fax_number": "701-852-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA BOYS & GIRLS RANCH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "701-364-2950"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FARGO RTC",
            "identifier": "10348",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52146",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA BOYS RANCH",
            "identifier": "3913",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54725",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WESTERN PLAINS",
            "identifier": "12344",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18078",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50521",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54715",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54730",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57550",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54710",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.