Active NPI
Patrick Landsiedel DDS PC
- General Practice Dentistry
- Minot, ND
National Provider Identifier
1902042609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PATRICK LANDSIEDEL DDS PC
- Practice address
- 1000 31St Ave SW
Minot, ND 58701-7403 - Phone
- (701) 852-3222
- NPI assigned
- Dec 30, 2008
- Last updated
- Dec 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Landsiedel, DDS
- Title
- Owner
- Phone
- (701) 852-3222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1000 31St Ave SW
Minot, ND 58701-7403
Mailing address
1000 31St Ave SW
Minot, ND 58701-7403
Phone (701) 852-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41062 | Medicaid | ND |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Minot, ND
- NPI 1487765855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230595200000",
"number": "1902042609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 31ST AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587017403",
"telephone_number": "701-852-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 31ST AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587017403",
"telephone_number": "701-852-3222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK LANDSIEDEL DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-30",
"last_updated": "2008-12-30",
"status": "A",
"authorized_official_last_name": "LANDSIEDEL",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-852-3222",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41062",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.