Dakota Kids Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1918 Issued in ND

Legal business name

DAKOTA KIDS DENTISTRY

Practice address

2615 Elk Dr Ste 1
Minot, ND 58701-1200

Phone

(701) 839-4440

Fax

(701) 839-1911

NPI assigned

Aug 1, 2007

Last updated

Jan 25, 2011By 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

Bridget Schaefer

Title

Business Manager

Phone

(701) 839-4440

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1851582100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ELK DR STE 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587011200",
            "telephone_number": "701-839-4440",
            "fax_number": "701-839-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ELK DR STE 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587011200",
            "telephone_number": "701-839-4440",
            "fax_number": "701-839-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "701-839-4440"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ND",
            "license": "1918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41292",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota College at Bottineau
• Dakota Dental Health Center
• Dakota Dental Health Center PLLC
• Dakota Family Services
• Dakota Family Services, Inc (Dakota Family Services)
• Dakota Lens Therapy, LLC
• Dakota Psychiatric Care PLLC
• Melita Dalby, LPN
• Jason Dammen, D.C.
• Nicole Ann Danelke

• Pediatric Dentistry in Minot, ND
• Providers in Minot, ND by specialty
• Pediatric Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.