Active NPI
Terry C Deeter, DDS
- General Practice Dentistry
- Bismarck, ND
National Provider Identifier
1467413831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1577
- Practice address
- 1003 Gateway Ave
Bismarck, ND 58503 - Phone
- (701) 222-1800
- Fax
- (701) 222-1800
- NPI assigned
- Mar 28, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 | 1577 | ND | Primary |
Addresses
Primary practice location
1003 Gateway Ave
Bismarck, ND 58503
Mailing address
1003 Gateway Ave
Bismarck, ND 58503
Phone (701) 222-1800
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 |
|---|---|---|---|
| 1577 | ND | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467413831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 GATEWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "58503",
"telephone_number": "701-222-1800",
"fax_number": "701-221-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 GATEWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "58503",
"telephone_number": "701-222-1800",
"fax_number": "701-222-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEETER",
"first_name": "TERRY",
"middle_name": "C",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "1577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.