NPIMap

Organization Active NPI

Concept Dentistry PC

Doing business as MyDental Sheyenne

  • Dental Clinic/Center
  • West Fargo, ND
National Provider Identifier
1447838974
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CONCEPT DENTISTRY PC
Doing business as
MyDental Sheyenne
Practice address
309 Sheyenne St
West Fargo, ND 58078-1732
Phone
(701) 282-5035
NPI assigned
Mar 29, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Heidi Lund
Title
Operations Leader
Phone
(701) 532-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

309 Sheyenne St
West Fargo, ND 58078-1732

Mailing address

4201 38TH St S Ste 106
Fargo, ND 58104-7535
Phone (701) 866-1894

Other names 1

  • MyDental Sheyenne Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concept Dentistry PC Valley City6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

309 Sheyenne St
West Fargo, ND 58078
Phone (701) 282-5035

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1447838974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 38TH ST S STE 106",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047535",
            "telephone_number": "701-866-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SHEYENNE ST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781732",
            "telephone_number": "701-282-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OPERATIONS LEADER",
        "authorized_official_telephone_number": "701-532-2500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyDental Sheyenne",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyDental Sheyenne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.