NPIMap

Organization Active NPI

Bismarck Sinus Center

  • Ambulatory Surgical Clinic/Center
  • Bismarck, ND
National Provider Identifier
1477089126
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BISMARCK SINUS CENTER
Practice address
2331 Tyler Pkwy
Suite 5
Bismarck, ND 58503-0871
Phone
(701) 934-1393
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Dr. Andrew Hetland, MDNPI 1457302622
Title
President
Phone
(701) 934-1393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2331 Tyler Pkwy
Suite 5
Bismarck, ND 58503-0871

Mailing address

2934 Carriage Cir
Bismarck, ND 58503-0113

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2145344Bismarck Sinus Center LLC2331 Tyler Parkway Suite 6, Bismarck, ND 58503Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory

Locations

2331 Tyler Pkwy
Ste 5
Bismarck, ND 58503
Phone (701) 934-1393

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1477089126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 CARRIAGE CIR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 TYLER PKWY",
            "address_2": "SUITE 5",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030871",
            "telephone_number": "701-934-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISMARCK SINUS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "HETLAND",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-934-1393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.