Active NPI
Stefanie Kangas Hardy, DMD
- General Practice Dentistry
- Fargo, ND
National Provider Identifier
1407086978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2054
- Practice address
- 1701 38TH St SW
Fargo, ND 58103-4499 - Phone
- (701) 282-4905
- Fax
- (701) 282-9561
- NPI assigned
- Jul 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2054 | ND | Primary |
Addresses
Primary practice location
1701 38TH St SW
Fargo, ND 58103-4499
Mailing address
1701 38TH St SW
Fargo, ND 58103-4499
Phone (701) 282-4905
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2054 | ND | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247961600000",
"number": "1407086978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 38TH ST SW",
"city": "FARGO",
"state": "ND",
"postal_code": "581034499",
"telephone_number": "701-282-4905",
"fax_number": "701-282-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 38TH ST SW",
"city": "FARGO",
"state": "ND",
"postal_code": "581034499",
"telephone_number": "701-282-4905",
"fax_number": "701-282-9561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "STEFANIE",
"middle_name": "KANGAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-19",
"last_updated": "2009-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "2054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.