Dylen's Crossing

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

DYLEN'S CROSSING

Doing business as

Dylen's Crossing

Practice address

1142 1St St W
Dickinson, ND 58601-4807

Phone

(701) 690-4184

NPI assigned

Dec 20, 2022

Last updated

Dec 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer J Gonser

Title

Owner

Phone

(701) 690-4184

Specialties & licenses 1

Addresses

Other names 1

• Dylen's Crossing Doing business as

Tax ID family

Dylen's Crossing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dylen's Crossing

  • In Home Supportive Care Agency
  • Dickinson, ND
  • NPI 1144930561
  NPD tax ID

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1437861556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 1ST ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014807",
            "telephone_number": "701-690-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 1ST ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014807",
            "telephone_number": "701-690-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYLEN'S CROSSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "GONSER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-690-4184"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dylen's Crossing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Dvorak Berger, R.N.
• Brittney Dvorak
• Daryl Lynne Dvorak
• Shelby Nicole Dvorak, M.D.
• Dylen's Crossing
• Ria Eaton, OT
• Marvin Myron Eberts, D.C
• Melissa Marie Eberts, D.D.S.
• Maxwell Richard Ehrhart, PHARMD
• Elite PT

• Point of Service in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Point of Service in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.