Individual provider Active NPI

Nathaniel Paul Clausnitzer, DMD

  • General Practice Dentistry
  • Bismarck, ND
National Provider Identifier
1508425802
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2377 Issued in ND
Practice address
3100 Railroad Ave
Bismarck, ND 58501-5011
Phone
(701) 202-8836
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2377 ND Primary

Addresses

Primary practice location

3100 Railroad Ave
Bismarck, ND 58501-5011

Mailing address

3100 Railroad Ave
Bismarck, ND 58501-5011

Other practice location 1

1110 College Dr Ste 108
Bismarck, ND 58501-1207
Phone (701) 255-0586

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

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1508425802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RAILROAD AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RAILROAD AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015011",
            "telephone_number": "701-202-8836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 College Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585011207",
            "country_code": "US",
            "telephone_number": "701-255-0586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUSNITZER",
        "first_name": "NATHANIEL",
        "middle_name": "PAUL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2377",
            "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 Jun 10, 2020; 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.