Organization Active NPI

Independent Practioners of America, LLC

  • Ambulatory Surgical Clinic/Center
  • Bismarck, ND
National Provider Identifier
1538189907
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INDEPENDENT PRACTIONERS OF AMERICA, LLC
Practice address
115 W Century Ave
Suite B
Bismarck, ND 58503
Phone
(701) 255-2252
Fax
(701) 255-2255
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Rick L Paulson, MD
Title
President
Phone
(701) 255-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

115 W Century Ave
Suite B
Bismarck, ND 58503

Mailing address

115 W Century Ave
Suite B
Bismarck, ND 58503
Phone (701) 255-2252

Other identifiers 1

IdentifierTypeStateIssuer
25290OtherNDBCBS

National Provider Directory

National Provider Directory

Locations

115 W Century Ave
Bismarck, ND 58503
Phone (701) 255-2252

115 W Century Ave
Ste B
Bismarck, ND 58503
Phone (701) 255-2252

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1538189907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W CENTURY AVE",
            "address_2": "SUITE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-255-2252",
            "fax_number": "701-255-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W CENTURY AVE",
            "address_2": "SUITE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-255-2252",
            "fax_number": "701-255-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PRACTIONERS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-255-2252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25290",
            "state": "ND"
        }
    ],
    "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 12, 2008; 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.