NPIMap

Organization Active NPI

Steidl Family Dentistry PC

  • Dental Clinic/Center
  • Moorhead, MN
National Provider Identifier
1700104072
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D12067 Issued in MN
Legal business name
STEIDL FAMILY DENTISTRY PC
Practice address
915 37TH Ave S
Moorhead, MN 56560
Phone
(218) 236-9319
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Dr. Jamie W Steidl, DDSNPI 1437228566
Title
Owner
Phone
(218) 236-9319

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
Dental Clinic/Center 261QD0000X D12067 MN Primary

Addresses

Primary practice location

915 37TH Ave S
Moorhead, MN 56560

Mailing address

915 37TH Ave S
Moorhead, MN 56560-6148
Phone (218) 236-9319

National Provider Directory

National Provider Directory

Locations

915 37th Ave S
Moorhead, MN 56560
Phone (218) 236-9319

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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1700104072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 37TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606148",
            "telephone_number": "218-236-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 37TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-236-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIDL FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "STEIDL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-236-9319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D12067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.