Active NPI
Arliss L Brend, DDS
- Dentist
- Bismarck, ND
National Provider Identifier
1629028717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1615
- Practice address
- 810 E Rosser Ave
Suite 405
Bismarck, ND 58501-4463 - Phone
- (701) 222-4111
- Fax
- (701) 222-3495
- NPI assigned
- May 11, 2006
- Last updated
- Oct 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1615 | ND | Primary |
Addresses
Primary practice location
810 E Rosser Ave
Suite 405
Bismarck, ND 58501-4463
Mailing address
207 E Front Ave
Suite C
Bismarck, ND 58504-5596
Phone (701) 222-4111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND1615 | Other | ND | BLUE CROSS BLUE SHIELD OF ND |
| 40007 | Medicaid | ND | |
| 793983 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1615 | ND | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1629028717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E FRONT AVE",
"address_2": "SUITE C",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585045596",
"telephone_number": "701-222-4111",
"fax_number": "701-222-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 E ROSSER AVE",
"address_2": "SUITE 405",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014463",
"telephone_number": "701-222-4111",
"fax_number": "701-222-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREND",
"first_name": "ARLISS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "1615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ND",
"identifier": "ND1615",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40007",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "793983",
"state": null
}
],
"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 Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.