Organization Active NPI

Richard J Hieb DDS PC

Doing business as the dental center

  • General Practice Dentistry
  • Bismarck, ND
National Provider Identifier
1700075470
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1734 Issued in ND
Legal business name
RICHARD J HIEB DDS PC
Doing business as
the dental center
Practice address
810 E Rosser Ave
Ste 404
Bismarck, ND 58501-4463
Phone
(701) 222-0033
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Tania Schell
Title
Office Manager
Phone
(701) 222-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1734 ND Primary

Addresses

Primary practice location

810 E Rosser Ave
Ste 404
Bismarck, ND 58501-4463

Mailing address

810 E Rosser Ave
Ste 404
Bismarck, ND 58501-4463
Phone (701) 222-0033

Other identifiers 3

IdentifierTypeStateIssuer
41197MedicaidND
971734OtherDSC
848790OtherUNITED CONCORDIA

Other names 1

  • the dental center Doing business as

National Provider Directory

National Provider Directory

Locations

810 E Rosser Ave
Ste 404
Bismarck, ND 58501
Phone (701) 222-0033

Practitioners & affiliated clinicians

Practitioners 1

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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1700075470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E ROSSER AVE",
            "address_2": "STE 404",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014463",
            "telephone_number": "701-222-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E ROSSER AVE",
            "address_2": "STE 404",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014463",
            "telephone_number": "701-222-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J HIEB DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SCHELL",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-222-0033"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41197",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSC",
            "identifier": "971734",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "848790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the dental center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 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.