Individual provider Active NPI

Brock Allen Oukrop, DDS

  • General Practice Dentistry
  • Bismarck, ND
National Provider Identifier
1669674362
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2006 Issued in ND
Practice address
4204 Boulder Ridge Rd Suite 140
Bismarck, ND 58503
Phone
(701) 258-7900
Fax
(701) 250-0557
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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 2006 ND Primary

Addresses

Primary practice location

4204 Boulder Ridge Rd Suite 140
Bismarck, ND 58503

Mailing address

4204 Boulder Ridge Rd Suite 140
Bismarck, ND 58503
Phone (701) 258-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303001706 ND Order and Referring Only - DentistPractitioner - Dentist 4688970478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006NDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Family Partners, LLC Current Accepting new patients
Brock Oukrop PC Dba: Dakota Family Smiles Past Accepting new patients

Locations

4204 Boulder Ridge Rd
Ste 140
Bismarck, ND 58503
Phone (701) 258-7900

Organizations & group practices 2

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1669674362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 BOULDER RIDGE RD SUITE 140",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-258-7900",
            "fax_number": "701-250-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 BOULDER RIDGE RD SUITE 140",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-258-7900",
            "fax_number": "701-250-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUKROP",
        "first_name": "BROCK",
        "middle_name": "ALLEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.