Organization Active NPI

Kurt G. Datz, DO, PC

  • Internal Medicine Physician
  • Bismarck, ND
National Provider Identifier
1912196007
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7639 Issued in ND
Legal business name
KURT G. DATZ, DO, PC
Practice address
811 E Interstate Ave
Bismarck, ND 58503-1136
Phone
(701) 221-0900
Fax
(701) 221-9197
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Kurt G Datz, DO
Title
Owner
Phone
(701) 221-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 7639 ND Primary

Addresses

Primary practice location

811 E Interstate Ave
Bismarck, ND 58503-1136

Mailing address

811 E Interstate Ave
Bismarck, ND 58503-1136
Phone (701) 221-0900

National Provider Directory

National Provider Directory

Locations

115 E Century Ave
Ste B
Bismarck, ND 58503
Phone (701) 221-0900

315 Main St S
Ste 205
Minot, ND 58701
Phone (701) 839-4232

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1912196007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E INTERSTATE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031136",
            "telephone_number": "701-221-0900",
            "fax_number": "701-221-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E INTERSTATE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031136",
            "telephone_number": "701-221-0900",
            "fax_number": "701-221-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT G. DATZ, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DATZ",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-221-0900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "7639",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 2007; 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.