Otto W. Dohm, DDS, Ms, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1766 Issued in ND

Legal business name

OTTO W. DOHM, DDS, MS, PC

Practice address

1142 W Capitol Ave
Bismarck, ND 58501-1306

Phone

(701) 222-8760

Fax

(701) 222-3162

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Otto W Dohm, DDS, MSNPI 1619193919

Title

President

Phone

(701) 222-8760

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Otto William Dohm, DDS,MS

  • Periodontics
  • Bismarck, ND
  • NPI 1619193919
  NPD (past) Authorized official
• Brady Skytland

  • Periodontics
  • Bismarck, ND
  • NPI 1881460970
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376763839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-222-8760",
            "fax_number": "701-222-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 W CAPITOL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011306",
            "telephone_number": "701-222-8760",
            "fax_number": "701-222-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO W. DOHM, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOHM",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-222-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "ND",
            "license": "1766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41031",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Ostendorf, PHARM.D
• Lynelle Osvold
• Jessica Beth Oswald, MS OTR/L
• Guy G Otteson, OD
• Kyle M Otteson, OD
• Maxwell James Otto, MD
• Brock Allen Oukrop, DDS
• Allyson Ova
• Erica Ova, MS, OTR/L
• Owen Counseling and Consulting, PLLC

• Periodontics in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Periodontics in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.