My Dental North Dakota

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MY DENTAL NORTH DAKOTA

Practice address

309 Sheyenne St
West Fargo, ND 58078-1732

Phone

(701) 282-5035

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Heidi Lund

Title

Operations Leader

Phone

(701) 866-1894

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Joshua Christian Hanson, DDS

  • Dentist
  • West Fargo, ND
  • NPI 1104497908
  NPD
• James Christopher Hieb, DDS

  • General Practice Dentistry
  • West Fargo, ND
  • NPI 1700088283
  NPD (past)

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1528654167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 38TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047535",
            "telephone_number": "701-760-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SHEYENNE ST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781732",
            "telephone_number": "701-282-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTAL NORTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OPERATIONS LEADER",
        "authorized_official_telephone_number": "701-866-1894"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najuwah Mulbah
• Sterlla Mulbah
• Annabel Mund
• Kristin Murch, MOTR/L
• Elissa Murphy-Shypkowski
• Owen Myhr
• Kelland Nabors
• Brittany Nack
• Megan Narog
• Brooke Narum

• Dental Clinic/Center in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.