Thomas H Ehrhardt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2111 Issued in ND

Practice address

1015 S. Broadway
Suite 20
Minot, ND 58701

Phone

(701) 838-1123

Fax

(701) 838-1261

NPI assigned

Jan 23, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 6, 2019 through Mar 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greer Dental,P.C.

  • General Practice Dentistry
  • Minot, ND
  • NPI 1104092980
  NPD (past)
• Ness Family Dentistry, LLC

  • Dental Clinic/Center
  • Minot, ND
  • NPI 1932631280
  NPD (past)
• Prairie Rose Family Dentists

  • Dentist
  • Bismarck, ND
  • NPI 1689117830
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1578834545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S. BROADWAY",
            "address_2": "SUITE 20",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701",
            "telephone_number": "701-838-1123",
            "fax_number": "701-838-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S. BROADWAY",
            "address_2": "SUITE 20",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701",
            "telephone_number": "701-838-1123",
            "fax_number": "701-838-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRHARDT",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailee Edwards
• Bianca Edwards
• Robert Buster Edwards Jr., ED. D.
• Madison Marie Ehlke
• Tracy N Ehlke
• Timothy John Eisenzimmer Jr., LPCC
• Ryan Richard Ekstrom
• Elise Felicio Behavior and Education Services PLLC (Fountain Behavioral Services)
• Ellenbecker Chiropractic, PC
• Amy Lou Ellenbecker, D.C.

• General Practice Dentistry in Minot, ND
• Providers in Minot, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.