Shandra Dee Rosenfeldt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1965 Issued in ND

Practice address

3633 Lincoln St S Ste C
Fargo, ND 58104-7771

Phone

(701) 373-0681

Fax

(701) 373-0684

NPI assigned

Sep 15, 2006

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity Sleep, LLC

  • Dental Clinic/Center
  • Fargo, ND
  • NPI 1306437926
  NPD Authorized official
• Serenity Valley Family Dentistry

  • Dental Clinic/Center
  • Fargo, ND
  • NPI 1093241846
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1740386853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 LINCOLN ST S STE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047771",
            "telephone_number": "701-373-0681",
            "fax_number": "701-373-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 LINCOLN ST S STE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047771",
            "telephone_number": "701-373-0681",
            "fax_number": "701-373-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELDT",
        "first_name": "SHANDRA",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12112",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL SERVICE CORP OF ND",
            "identifier": "949311",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1850732",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roots of Wellness, PLLC. (Roots of Wellness)
• Angela K Rortvedt
• Lisa K Rorvig, MSW
• Karla Rosenau, R.PH.
• Katie Rosenfeldt
• Harold D Rosenheim, PH.D.. LAC
• Scot Robert Rosenthal II, AU.D.
• Angela M Rosing, RN
• Cheryl Ross, NP
• David J Ross

• General Practice Dentistry in Fargo, ND
• Providers in Fargo, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.