NPIMap

Organization Active NPI

Northland Dental, LTD.

  • General Practice Dentistry
  • Moorhead, MN
National Provider Identifier
1710407267
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12404 Issued in MN
Legal business name
NORTHLAND DENTAL, LTD.
Practice address
2121 Highway 10 E
Moorhead, MN 56560-2559
Phone
(218) 236-7076
Fax
(218) 236-4999
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Andrew Steven Atchison, D.D.S.
Title
President
Phone
(218) 236-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D12404 MN Primary

Addresses

Primary practice location

2121 Highway 10 E
Moorhead, MN 56560-2559

Mailing address

2121 Highway 10 E
Moorhead, MN 56560-2559
Phone (218) 236-7076

National Provider Directory

National Provider Directory

Locations

2121 Highway 10 E
Moorhead, MN 56560
Phone (218) 236-7076

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710407267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HIGHWAY 10 E",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602559",
            "telephone_number": "218-236-7076",
            "fax_number": "218-236-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HIGHWAY 10 E",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602559",
            "telephone_number": "218-236-7076",
            "fax_number": "218-236-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND DENTAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ATCHISON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-236-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12404",
            "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 21, 2022; 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.