NPIMap

Organization Active NPI

Bismarck Dentistry PC

  • Dentist
  • Dickinson, ND
National Provider Identifier
1558034777
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BISMARCK DENTISTRY PC
Practice address
620 19TH St W Ste 200
Dickinson, ND 58601-2972
Phone
(701) 502-0060
NPI assigned
Jul 26, 2021
Organization subpart
Yes
Parent organization
BISMARCK DENTISTRY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Dr. Daniel Brian Van Buskirk, D.D.S.NPI 1043384266
Title
Owner
Phone
(701) 751-8081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

620 19TH St W Ste 200
Dickinson, ND 58601-2972

Mailing address

4401 Coleman St Ste 104
Bismarck, ND 58503-1371
Phone (701) 751-8081

Other practice location 1

4401 Coleman St Ste 104
Bismarck, ND 58503-1371
Phone (701) 751-8081

Other names 1

  • Plaza Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Bismarck Dentistry PC

Locations

620 19th St W
Ste 200
Dickinson, ND 58601
Phone (701) 502-0060

Practitioners & affiliated clinicians

Practitioners 3

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": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1558034777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 COLEMAN ST STE 104",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031371",
            "telephone_number": "701-751-8081",
            "fax_number": "701-751-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 19TH ST W STE 200",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012972",
            "telephone_number": "701-502-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Coleman St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585031371",
            "country_code": "US",
            "telephone_number": "701-751-8081",
            "fax_number": "701-751-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BISMARCK DENTISTRY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BISMARCK DENTISTRY PC",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "VAN BUSKIRK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-751-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plaza Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 26, 2021; 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.