NPIMap

Organization Active NPI

Rugby Dental Office, P.C.

  • Dental Clinic/Center
  • Rugby, ND
National Provider Identifier
1649400797
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RUGBY DENTAL OFFICE, P.C.
Practice address
201 7TH St. SW
Suite 1
Rugby, ND 58368-2100
Phone
(701) 776-5884
Fax
(701) 776-2835
NPI assigned
Jul 23, 2009
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Kathy Lynn SantjerNPI 1790993103
Title
Owner/President
Phone
(701) 776-5884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Dentist 122300000X NU

Addresses

Primary practice location

201 7TH St. SW
Suite 1
Rugby, ND 58368-2100

Mailing address

201 7TH St. SW
Suite 1
Rugby, ND 58368-2100
Phone (701) 776-5884

Other identifiers 1

IdentifierTypeStateIssuer
1457947MedicaidND

National Provider Directory

National Provider Directory

Locations

201 7th St SW
#1
Rugby, ND 58368
Phone (701) 776-5884

Practitioners & affiliated clinicians

Practitioners 3

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": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1649400797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 7TH ST. SW",
            "address_2": "SUITE 1",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583682100",
            "telephone_number": "701-776-5884",
            "fax_number": "701-776-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 7TH ST. SW",
            "address_2": "SUITE 1",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583682100",
            "telephone_number": "701-776-5884",
            "fax_number": "701-776-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUGBY DENTAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "SANTJER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "701-776-5884"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457947",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rugby, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.