NPIMap

Organization Active NPI

Dakota Pediatric Dentistry PC

  • Dental Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1578898268
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2000 Issued in ND
Legal business name
DAKOTA PEDIATRIC DENTISTRY PC
Doing business as
Dental Care 4 Kidz
Practice address
2812 17TH Ave S
Suite F
Grand Forks, ND 58201-4048
Phone
(701) 746-1400
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Dr. Chad James Hoge, DDS
Title
Vice President
Phone
(701) 200-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2000 ND Primary

Addresses

Primary practice location

2812 17TH Ave S
Suite F
Grand Forks, ND 58201-4048

Mailing address

2812 17TH Ave S
Suite F
Grand Forks, ND 58201-4048
Phone (701) 746-1400

Other names 1

  • Dental Care 4 Kidz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dakota Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2812 17th Ave S
Ste F
Grand Forks, ND 58201
Phone (701) 746-1400

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": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1578898268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 17TH AVE S",
            "address_2": "SUITE F",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014048",
            "telephone_number": "701-746-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 17TH AVE S",
            "address_2": "SUITE F",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014048",
            "telephone_number": "701-746-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "HOGE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "701-200-5771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care 4 Kidz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.