Robert F.W. Cudworth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1951 Issued in ND

Practice address

708 1St Ave N
New Rockford, ND 58356-1903

Phone

(701) 947-2354

Fax

(701) 947-2356

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• James River Dentistry, P.C.

  • General Practice Dentistry
  • New Rockford, ND
  • NPI 1588876759
  NPD Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1508078734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 1ST AVE N",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "58356",
            "telephone_number": "701-947-2354",
            "fax_number": "701-947-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 1ST AVE N",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561903",
            "telephone_number": "701-947-2354",
            "fax_number": "701-947-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDWORTH",
        "first_name": "ROBERT",
        "middle_name": "F.W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrington Health Center
• Central Pharmacy Inc
• City of New Rockford
• Community Ambulance Service of New Rockford
• Cooperstown Medical Center
• Brita Lynn Duval
• East Central Center for Exceptional Children
• Eddy County Social Services
• Amy Ellingson, D.D.S.
• Jackie Engels

• General Practice Dentistry in New Rockford, ND
• Providers in New Rockford, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.