NPIMap

Organization Active NPI

Dakota Smiles, PLLC

  • General Practice Dentistry
  • Fargo, ND
National Provider Identifier
1740430198
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAKOTA SMILES, PLLC
Practice address
3170 44TH St S Ste 100
Fargo, ND 58104
Phone
(701) 235-2860
Fax
(701) 235-4179
NPI assigned
Sep 23, 2008
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Dr. Charles Christopher Duchsherer, DDSNPI 1861436974
Title
Co-Owner
Phone
(701) 235-2860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X 2038 ND

Addresses

Primary practice location

3170 44TH St S Ste 100
Fargo, ND 58104

Mailing address

3170 44TH St S Ste 100
Fargo, ND 58104
Phone (701) 235-2860

National Provider Directory

National Provider Directory
Tax ID family
Dakota Smiles PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3170 44th St S
Unit 100
Fargo, ND 58104
Phone (701) 235-2860

4357 13th Ave S
Ste 106
Fargo, ND 58103

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1740430198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 44TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-235-2860",
            "fax_number": "701-235-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 44TH ST S STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-235-2860",
            "fax_number": "701-235-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "DUCHSHERER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "701-235-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "2038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.