Hettinger Family Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HETTINGER FAMILY DENTAL, P.C.

Doing business as

Dickinson Dental Center

Practice address

2 1St St W Ste 215
Dickinson, ND 58601-5106

Phone

(701) 483-6999

NPI assigned

Jan 16, 2025

Organization subpart

Yes

Parent organization

HETTINGER FAMILY DENTAL, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Brody Peterson, DDSNPI 1588313134

Title

Owner

Phone

(605) 639-0448

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dickinson Dental Center Doing business as

Tax ID family

Hettinger Family Dental PC2 organizations share this tax ID, including this one

Part of

Hettinger Family Dental PC

Other organizations with this tax ID 1

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

• Hettinger Family Dental, P.C.

  • Dental Clinic/Center
  • Hettinger, ND
  • NPI 1851001168
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hettinger Family Dental, P.C.

  • Dental Clinic/Center
  • Hettinger, ND
  • NPI 1851001168
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brody William Peterson

  • Dentist
  • Dickinson, ND
  • NPI 1588313134
  NPD Authorized official

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1902617103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1ST ST W STE 215",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015106",
            "telephone_number": "701-483-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1ST ST W STE 215",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015106",
            "telephone_number": "701-483-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HETTINGER FAMILY DENTAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HETTINGER FAMILY DENTAL, P.C.",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-639-0448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588313134",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dickinson Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Herauf, SLP
• Sandra Kaye Herr
• Amy Herrera
• Alli McKenzie Hertz, PT
• Ashley Brittany Hess
• Rachel Viola Hexem, COTA/L
• Denelle Marie Hibl
• Kristina Higginson
• High Plains Dental
• Rhoda Ione Hilden

• Dentist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.