NPIMap

Organization Active NPI

Dakota Boys & Girls Ranch Association

Doing business as Dakota Boys Ranch Western Plains

  • Psychiatric Residential Treatment Facility
  • Bismarck, ND
National Provider Identifier
1851476105
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DAKOTA BOYS & GIRLS RANCH ASSOCIATION
Doing business as
Dakota Boys Ranch Western Plains
Practice address
1227 N 35TH St
Bismarck, ND 58501-7722
Phone
(701) 858-0115
NPI assigned
Oct 26, 2006
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Tammy Moreno
Title
Credentialing
Phone
(701) 364-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X ND Primary

Addresses

Primary practice location

1227 N 35TH St
Bismarck, ND 58501-7722

Mailing address

1227 N 35TH St
Bismarck, ND 58501-7722
Phone (701) 858-0115

Other identifiers 2

IdentifierTypeStateIssuer
12344OtherNDBLUE CROSS
52146MedicaidND

Other names 1

  • Dakota Boys Ranch Western Plains Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851476105. Details of each certification follow.

  • CCN 35L002 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 35L002

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WESTERN PLAINS (DBGR)
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jul 1, 2006
Last certification
Jul 25, 2023
Beds
16
Ownership / control type
For profit – individual
Facility address
1227 N 35TH St
Bismarck, ND 58501

National Provider Directory

National Provider Directory
Tax ID family
Dakota Boys Girls Ranch Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1227 N 35th St
Bismarck, ND 58501
Phone (701) 224-1789

Practitioners & affiliated clinicians

Practitioners 1

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1851476105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N 35TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017722",
            "telephone_number": "701-858-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N 35TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017722",
            "telephone_number": "701-858-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA BOYS & GIRLS RANCH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "701-364-2950"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "12344",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52146",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Boys Ranch Western Plains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.