NPIMap

Organization Active NPI

Dakota Dental Health Center PLLC

  • General Practice Dentistry
  • Minot, ND
National Provider Identifier
1639414451
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAKOTA DENTAL HEALTH CENTER PLLC
Practice address
515 20TH Ave SE
Suite 8
Minot, ND 58701-6661
Phone
(701) 852-4755
Fax
(701) 852-8016
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Mrs. Nadine J Holmly
Title
Office Manager
Phone
(701) 852-4755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

515 20TH Ave SE
Suite 8
Minot, ND 58701-6661

Mailing address

515 20TH Ave SE
Suite 8
Minot, ND 58701-6661
Phone (701) 852-4755

National Provider Directory

National Provider Directory

Locations

515 20th Ave SE
Ste 8
Minot, ND 58701
Phone (701) 852-4755

Practitioners & affiliated clinicians

Practitioners 5

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": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1639414451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 20TH AVE SE",
            "address_2": "SUITE 8",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016661",
            "telephone_number": "701-852-4755",
            "fax_number": "701-852-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 20TH AVE SE",
            "address_2": "SUITE 8",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016661",
            "telephone_number": "701-852-4755",
            "fax_number": "701-852-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA DENTAL HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "HOLMLY",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-852-4755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.