Organization Active NPI

Apollonia Dental

  • Dental Clinic/Center
  • Mott, ND
National Provider Identifier
1568656114
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
APOLLONIA DENTAL
Practice address
223 Brown Avenue
Mott, ND 58646-0159
Phone
(701) 824-2991
Fax
(701) 824-2750
NPI assigned
Aug 28, 2007
Last updated
Aug 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Kristen Manolovits, DDS
Title
President
Phone
(701) 824-2991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

223 Brown Avenue
Mott, ND 58646-0159

Mailing address

223 Brown Ave
Mott, ND 58646-0159
Phone (701) 824-2991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1568656114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BROWN AVE",
            "city": "MOTT",
            "state": "ND",
            "postal_code": "586460159",
            "telephone_number": "701-824-2991",
            "fax_number": "701-824-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 BROWN AVENUE",
            "city": "MOTT",
            "state": "ND",
            "postal_code": "586460159",
            "telephone_number": "701-824-2991",
            "fax_number": "701-824-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLONIA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "MANOLOVITS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-824-2991",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mott, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.