NPIMap

Organization Active NPI

Prairie Rose Family Dentists

  • Dentist
  • Bismarck, ND
National Provider Identifier
1689117830
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PRAIRIE ROSE FAMILY DENTISTS
Practice address
900 E Calgary Ave
Bismarck, ND 58503-5616
Phone
(701) 223-8262
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Chris SpiesNPI 1578657011
Title
Doctor
Phone
(701) 223-8262

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

900 E Calgary Ave
Bismarck, ND 58503-5616

Mailing address

121 E Front Ave
Bismarck, ND 58504-5589
Phone (701) 223-1194

National Provider Directory

National Provider Directory
Tax ID family
Prairie Rose Family Dentists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 E Calgary Ave
Bismarck, ND 58503
Phone (701) 223-8262

Practitioners & affiliated clinicians

Practitioners 7

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": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1689117830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045589",
            "telephone_number": "701-223-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E CALGARY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035616",
            "telephone_number": "701-223-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE ROSE FAMILY DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "SPIES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "701-223-8262",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.