Organization Active NPI

Northwest Dakota Management LLC

Doing business as Dakota Surgical Group

  • Durable Medical Equipment & Medical Supplies
  • Minot, ND
National Provider Identifier
1770300303
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHWEST DAKOTA MANAGEMENT LLC
Doing business as
Dakota Surgical Group
Practice address
1002 18TH Ave SE
Suite B
Minot, ND 58701
Phone
(701) 852-6153
NPI assigned
Sep 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Mr. Frank Szczesniak
Title
Authorized Official
Phone
(701) 852-6153

Specialties & licenses 1

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

Addresses

Primary practice location

1002 18TH Ave SE
Suite B
Minot, ND 58701

Mailing address

1002 18TH Ave SE
Suite B
Minot, ND 58701

Other names 1

  • Dakota Surgical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dakota Physicians Group2 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

1002 18th Ave SE
Ste B
Minot, ND 58701
Phone (701) 852-6153

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": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1770300303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 18TH AVE SE",
            "address_2": "SUITE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 18TH AVE SE",
            "address_2": "SUITE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701",
            "telephone_number": "701-852-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DAKOTA MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SZCZESNIAK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "701-852-6153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.