NPIMap

Organization Active NPI

Dakota Clinic LTD

  • Durable Medical Equipment & Medical Supplies
  • Detroit Lakes, MN
National Provider Identifier
1720149735
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DAKOTA CLINIC LTD
Practice address
125 Frazee St
Detroit Lakes, MN 56501-3501
Phone
(218) 844-2300
Fax
(218) 844-2444
NPI assigned
Dec 13, 2006
Organization subpart
Yes
Parent organization
DAKOTA CLINIC,LTD.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Larry G Solberg
Title
Ceo
Phone
(701) 364-3405

Corporate family (same tax ID) 37

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

View all 37

National Provider Directory

National Provider Directory
Tax ID family
Dakota Clinc Independent la (38 organizations share this tax ID)
Part of
Dakota Clinc Independent la

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

125 Frazee St
Detroit Lakes, MN 56501-3501

Mailing address

PO Box 727
Detroit Lakes, MN 56502
Phone (217) 844-2300

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
108779OtherMNMAMMOGRAPHY #

Other names 1

NPPES NPI Registry
  • DAKOTA CLINIC LTD DETROIT LAKES Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2007.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1720149735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "56502",
            "telephone_number": "217-844-2300",
            "fax_number": "218-844-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FRAZEE ST",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013501",
            "telephone_number": "218-844-2300",
            "fax_number": "218-844-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA CLINIC LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAKOTA CLINIC,LTD.",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SOLBERG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-364-3405"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMMOGRAPHY #",
            "identifier": "108779",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAKOTA CLINIC LTD DETROIT LAKES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.