Active NPI
Great Plains Restorative Services, LLC
- Oxygen Equipment & Supplies (DME)
- Dickinson, ND
National Provider Identifier
1518646520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- GREAT PLAINS RESTORATIVE SERVICES, LLC
- Practice address
- 584 12TH St W
Dickinson, ND 58601-3509 - Phone
- (701) 456-4364
- Fax
- (701) 456-4642
- NPI assigned
- Jul 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory P Lord
- Title
- Ceo
- Phone
- (701) 530-4000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
584 12TH St W
Dickinson, ND 58601-3509
Mailing address
584 12TH St W
Dickinson, ND 58601-3509
Phone (701) 456-4364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240205001826 | ND | DME Supplier - Medical Supply Company With Respiratory Therapist | 0648620336 | Practice locations: Dickinson, ND |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Oxygen Equipment & Supplies (DME)
- Bismarck, ND
- NPI 1366120057
0648620336
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1518646520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 12TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013509",
"telephone_number": "701-456-4364",
"fax_number": "701-456-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 12TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013509",
"telephone_number": "701-456-4364",
"fax_number": "701-456-4642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT PLAINS RESTORATIVE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "LORD",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "701-530-4000"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.