Organization Active NPI

Dental Associates of Valley City P.C.

  • General Practice Dentistry
  • Valley City, ND
National Provider Identifier
1669540936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1354 Issued in ND
Legal business name
DENTAL ASSOCIATES OF VALLEY CITY P.C.
Practice address
202 Central Ave S
Valley City, ND 58072-3325
Phone
(701) 845-4221
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Grant G Zwick, DDS
Title
Owner
Phone
(701) 845-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1354 ND Primary

Addresses

Primary practice location

202 Central Ave S
Valley City, ND 58072-3325

Mailing address

202 Central Ave S
Valley City, ND 58072-3325
Phone (701) 845-4221

National Provider Directory

National Provider Directory

Locations

202 Central Ave S
Valley City, ND 58072
Phone (701) 845-2498

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669540936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CENTRAL AVE S",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723325",
            "telephone_number": "701-845-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CENTRAL AVE S",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723325",
            "telephone_number": "701-845-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF VALLEY CITY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZWICK",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-845-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.