Active NPI
Nathaniel Paul Clausnitzer, DMD
- General Practice Dentistry
- Bismarck, ND
National Provider Identifier
1508425802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2377
- 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
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 | 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.