Active NPI
James Brian Lichtsinn, D.D.S.
- Dentist
- Fargo, ND
National Provider Identifier
1457438673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1777
- Practice address
- 3210 18TH St S Ste a
Fargo, ND 58104-6789 - Phone
- (701) 280-1941
- Fax
- (701) 364-1943
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1777 | ND | Primary |
| Dentist | 122300000X | D9478 | MN |
Addresses
Primary practice location
3210 18TH St S Ste a
Fargo, ND 58104-6789
Mailing address
3210 18TH St S Ste a
Fargo, ND 58104-6789
Phone (701) 280-1941
Other practice location 1
211 5th St S
Moorhead, MN 56560-2714
Phone (218) 233-1941
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 |
|---|---|---|---|
| 1777 | ND | MD | Addiction (Substance Use Disorder) Counselor |
| D9478 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James B. Lichtsinn, D.D.S., P.a. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Fargo, ND
- NPI 1073676722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1457438673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 18TH ST S STE A",
"city": "FARGO",
"state": "ND",
"postal_code": "581046789",
"telephone_number": "701-280-1941",
"fax_number": "701-364-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 18TH ST S STE A",
"city": "FARGO",
"state": "ND",
"postal_code": "581046789",
"telephone_number": "701-280-1941",
"fax_number": "701-364-1943"
}
],
"practiceLocations": [
{
"address_1": "211 5th St S",
"address_purpose": "LOCATION",
"city": "Moorhead",
"state": "MN",
"postal_code": "565602714",
"country_code": "US",
"telephone_number": "218-233-1941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LICHTSINN",
"first_name": "JAMES",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "1777",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D9478",
"primary": false
}
],
"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 Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.