NPIMap

Organization Active NPI

Jolliffe Restorative Medicine & Aesthetics Institute

  • Health Service Clinic/Center
  • Bismarck, ND
National Provider Identifier
1912644402
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JOLLIFFE RESTORATIVE MEDICINE & AESTHETICS INSTITUTE
Practice address
1400 43Rd Ave NE Ste 300
Bismarck, ND 58503-6140
Phone
(701) 955-4559
Fax
(701) 751-1721
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Jolliffe Rhonda, NP
Title
Owner
Phone
(701) 955-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1400 43Rd Ave NE Ste 300
Bismarck, ND 58503-6140

Mailing address

1400 43Rd Ave NE Ste 300
Bismarck, ND 58503-6140
Phone (701) 955-4559

Other names 1

  • Jolliffe Institute Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cerbo Direct

National Provider Directory

National Provider Directory
Tax ID family
Jolliffe Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1400 43rd Ave NE
Ste 300
Bismarck, ND 58503
Phone (701) 955-4559

Practitioners & affiliated clinicians

Practitioners 2

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": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1912644402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 43RD AVE NE STE 300",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036140",
            "telephone_number": "701-955-4559",
            "fax_number": "701-751-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 43RD AVE NE STE 300",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036140",
            "telephone_number": "701-955-4559",
            "fax_number": "701-751-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLIFFE RESTORATIVE MEDICINE & AESTHETICS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "RHONDA",
        "authorized_official_first_name": "JOLLIFFE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-955-4559",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cerbo",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 43rd Ave NE Ste 300",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585036140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jolliffe Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 16, 2022; 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.