Central Dakota Family Physicians, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRAL DAKOTA FAMILY PHYSICIANS, PC

Practice address

922 Lincoln Ave
Harvey, ND 58341-1524

Phone

(701) 324-4856

Fax

(701) 324-4858

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Charles D Nyhus, MDNPI 1700954633

Title

Owner

Phone

(701) 324-4856

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Dakota Clinic Other name

Medicare fee-for-service enrollment

Enrolled in ND2 enrollments

Enrollment records 2

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles D Nyhus, MD

  • Family Medicine Physician
  • Harvey, ND
  • NPI 1700954633

  ND

  Medicare reassignment Care Compare group Authorized official
• Julie Ann Keller, PA-C

  • Physician Assistant
  • Harvey, ND
  • NPI 1114095064

  ND

  Medicare reassignment Care Compare group

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1720156664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411524",
            "telephone_number": "701-324-4856",
            "fax_number": "701-324-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411524",
            "telephone_number": "701-324-4856",
            "fax_number": "701-324-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DAKOTA FAMILY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "NYHUS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-324-4856",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10310",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Dakota Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robin Lynn Arnold, COTA/L
• Susan Kay Bartz, M.S., CCC-SLP
• Jacqueline L Bauerle, CPHT, CNA
• Deborah Buxa, FNP
• Vicky Calheim
• Central Regional Education Association
• Chamberz, LLC
• Gregory Wayne Christensen, D.D.S.
• Kelly Gordon Christenson, PT
• Ed Tojino Corpus Jr., MD

• All providers in Harvey, ND
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.