NPIMap

Organization Active NPI

Scotland Bakke Dental P.a.

  • General Practice Dentistry
  • Bemidji, MN
National Provider Identifier
1841539491
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12524 Issued in MN
Legal business name
SCOTLAND BAKKE DENTAL P.A.
Practice address
430 25TH St NW
Bemidji, MN 56601-2486
Phone
(218) 751-8325
NPI assigned
Feb 1, 2013
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Jonetta BakkeNPI 1184885386
Title
Dentist
Phone
(218) 751-8325

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 Dentistry 1223G0001X D8207 MN
General Practice Dentistry 1223G0001X D12524 MN Primary

Addresses

Primary practice location

430 25TH St NW
Bemidji, MN 56601-2486

Mailing address

PO Box 1327
Bemidji, MN 56619-1327

National Provider Directory

National Provider Directory

Locations

430 25th St NW
Bemidji, MN 56601
Phone (218) 751-8325

Practitioners & affiliated clinicians

Practitioners 3

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": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1841539491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566191327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 25TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012486",
            "telephone_number": "218-751-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND BAKKE DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "BAKKE",
        "authorized_official_first_name": "JONETTA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "218-751-8325"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8207",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.