Active NPI
Dennis Gichana, SRNA
- Critical Care Medicine Registered Nurse
- Fargo, ND
National Provider Identifier
1902633290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- R47786
- Practice address
- 3020 36TH St S Unit 2
Fargo, ND 58103-6290 - Phone
- (701) 955-3410
- NPI assigned
- Sep 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | R47786 | ND | Primary |
Addresses
Primary practice location
3020 36TH St S Unit 2
Fargo, ND 58103-6290
Mailing address
3020 36TH St S Unit 2
Fargo, ND 58103-6290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R47786 | ND | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1902633290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 36TH ST S UNIT 2",
"city": "FARGO",
"state": "ND",
"postal_code": "581036290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 36TH ST S UNIT 2",
"city": "FARGO",
"state": "ND",
"postal_code": "581036290",
"telephone_number": "701-955-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GICHANA",
"first_name": "DENNIS",
"credential": "SRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "ND",
"license": "R47786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.