Organization Active NPI

Support Systems, Inc.

  • Community/Behavioral Health Agency
  • Bismarck, ND
National Provider Identifier
1902404957
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPPORT SYSTEMS, INC.
Practice address
600 S 2ND St Ste 105
Bismarck, ND 58504-5701
Phone
(701) 255-6503
Fax
(701) 255-1276
NPI assigned
Oct 13, 2020
Last updated
Jan 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Donald Wald
Title
Ceo
Phone
(701) 255-6503

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

600 S 2ND St Ste 105
Bismarck, ND 58504-5701

Mailing address

600 S 2ND St Ste 105
Bismarck, ND 58504-5701
Phone (701) 255-6503

Other identifiers 1

IdentifierTypeStateIssuer
1456245MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwald@suppsys.com

National Provider Directory

National Provider Directory

Locations

600 S 2nd St
Ste 105
Bismarck, ND 58504
Phone (701) 255-6503

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1902404957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 2ND ST STE 105",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045701",
            "telephone_number": "701-255-6503",
            "fax_number": "701-255-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 2ND ST STE 105",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045701",
            "telephone_number": "701-255-6503",
            "fax_number": "701-255-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2021-01-19",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "WALD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-255-6503"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456245",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwald@suppsys.com",
            "affiliation": "N",
            "address_1": "600 S 2nd St Ste 105",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585045701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.