Individual provider Active NPI

Robert L Belquist, DDS

  • General Practice Dentistry
  • New Rockford, ND
National Provider Identifier
1659583813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1602 Issued in ND
Practice address
120 1St St S
New Rockford, ND 58356-1903
Phone
(701) 947-2354
Fax
(701) 947-2356
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1602 ND Primary

Addresses

Primary practice location

120 1St St S
New Rockford, ND 58356-1903

Mailing address

120 1St St S
New Rockford, ND 58356-1903
Phone (701) 947-2354

Other identifiers 1

IdentifierTypeStateIssuer
40710MedicaidND

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1602NDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James River Dentistry, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659583813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 1ST ST S",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561903",
            "telephone_number": "701-947-2354",
            "fax_number": "701-947-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST ST S",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561903",
            "telephone_number": "701-947-2354",
            "fax_number": "701-947-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELQUIST",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40710",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rockford, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.