Ames and Peterson Orthodontics, PLLC.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

AMES AND PETERSON ORTHODONTICS, PLLC.

Practice address

1550 30TH Ave S
Moorhead, MN 56560-5150

Phone

(218) 236-1322

Fax

(218) 359-0719

NPI assigned

Jun 6, 2022

Last updated

Jun 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Torie L Moodie

Title

In-House Insurance Specialist

Phone

(218) 359-3210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1831828011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605150",
            "telephone_number": "218-236-1322",
            "fax_number": "218-359-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605150",
            "telephone_number": "218-236-1322",
            "fax_number": "218-359-0719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565012647",
            "country_code": "US",
            "telephone_number": "218-847-3372",
            "fax_number": "218-847-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMES AND PETERSON ORTHODONTICS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MOODIE",
        "authorized_official_first_name": "TORIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "IN-HOUSE INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "218-359-3210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.