Active NPI
Kathy Lynn Santjer, DDS
- Dentist
- Rugby, ND
National Provider Identifier
1790993103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- PENDING
- Practice address
- 201 7TH St SW
Suite #1
Rugby, ND 58368-2100 - Phone
- (701) 776-5884
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | PENDING | ND | Primary |
Addresses
Primary practice location
201 7TH St SW
Suite #1
Rugby, ND 58368-2100
Mailing address
35A Country Rd
Rugby, ND 58368-2507
Phone (701) 776-6153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151008002617 | ND | Order and Referring Only - Other (Non-Physician) | 9830407964 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | ND | MD | Optometrist |
| 2004 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rugby Dental Office, P.C. | Dentist | Current | Accepting new patients |
Locations
201 7th St SW
#1
Rugby, ND 58368
Phone (701) 776-5884
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790993103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35A COUNTRY RD",
"city": "RUGBY",
"state": "ND",
"postal_code": "583682507",
"telephone_number": "701-776-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 7TH ST SW",
"address_2": "SUITE #1",
"city": "RUGBY",
"state": "ND",
"postal_code": "583682100",
"telephone_number": "701-776-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTJER",
"first_name": "KATHY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rugby, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.