Susan Althoff, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2381 Issued in ND

Practice address

3210 18TH St S Ste a
Fargo, ND 58104-6789

Phone

(017) 280-1941

NPI assigned

Jul 18, 2016

Last updated

Sep 12, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Althoff Dental, PC

  dba Southpointe Dental

  • Dental Clinic/Center
  • Fargo, ND
  • NPI 1437870979
  NPD Authorized official

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1821441684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 36TH AVE NE",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021206",
            "telephone_number": "701-729-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 18TH ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046789",
            "telephone_number": "017-280-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTHOFF",
        "first_name": "SUSAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gerard Altendorf, MED LPCC
• Kelsey Altendorf, LMSW
• Althoff Dental, PC (Southpointe Dental)
• Alexander J Althoff, DDS
• Jessica Marie Althoff, RN
• Akram Altoma
• Mark Jheran Zabat Alvarez, RN
• Uns Kadhim Alwahab
• Malak Alzidaneen, MD
• Am Investments LLC

• 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 Sep 12, 2022; 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.

Verify at the official NPI Registry.