Organization Active NPI

L.O Brend DDS PC

  • Dentist
  • Bismarck, ND
National Provider Identifier
1912119504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1418 Issued in ND
Legal business name
L.O BREND DDS PC
Practice address
1143 W Turnpike Ave
Bismarck, ND 58501-8115
Phone
(701) 255-2467
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee O Brend, DDS
Title
Owner
Phone
(701) 255-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1418 ND Primary

Addresses

Primary practice location

1143 W Turnpike Ave
Bismarck, ND 58501-8115

Mailing address

1143 W Turnpike Ave
Bismarck, ND 58501-8115
Phone (701) 255-2467

Other identifiers 1

IdentifierTypeStateIssuer
1418OtherNDNORTH DAKOTA DENTAL

National Provider Directory

National Provider Directory

Locations

1143 W Turnpike Ave
Bismarck, ND 58501
Phone (701) 255-2467

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912119504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 W TURNPIKE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585018115",
            "telephone_number": "701-255-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 W TURNPIKE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585018115",
            "telephone_number": "701-255-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.O BREND DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREND",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-255-2467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "1418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA  DENTAL",
            "identifier": "1418",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "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 Aug 22, 2020; 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.