Organization Active NPI

Dakota Children'S Advocacy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bismarck, ND
National Provider Identifier
1710498985
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DAKOTA CHILDREN'S ADVOCACY CENTER
Practice address
1303 E Central Ave
Bismarck, ND 58501-2066
Phone
(701) 323-6864
Fax
(701) 255-4495
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Paula Condol, MS
Title
Executive Director
Phone
(701) 202-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1303 E Central Ave
Bismarck, ND 58501-2066

Mailing address

1303 E Central Ave
Bismarck, ND 58501-2066
Phone (701) 323-6864

Other practice location 1

128 1st St W # 2
Dickinson, ND 58601-5108
Phone (701) 323-5626

National Provider Directory

National Provider Directory

Locations

128 1st St W
#2
Dickinson, ND 58601
Phone (701) 323-5626

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": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1710498985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E CENTRAL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012066",
            "telephone_number": "701-323-6864",
            "fax_number": "701-255-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E CENTRAL AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012066",
            "telephone_number": "701-323-6864",
            "fax_number": "701-255-4495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 1st St W # 2",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586015108",
            "country_code": "US",
            "telephone_number": "701-323-5626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAKOTA CHILDREN'S ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CONDOL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-202-7073",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Mar 17, 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.