NPIMap

Organization Active NPI

Dakota Boys & Girls Ranch Association

Doing business as Dakota Boys Ranch Fargo RTC

  • Psychiatric Residential Treatment Facility
  • Fargo, ND
National Provider Identifier
1922184167
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DAKOTA BOYS & GIRLS RANCH ASSOCIATION
Doing business as
Dakota Boys Ranch Fargo RTC
Practice address
7151 15TH St S
Fargo, ND 58104-6613
Phone
(701) 364-2950
NPI assigned
Oct 31, 2006
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Tammy MorenoNPI 1013673326
Title
Credentialing
Phone
(701) 364-2950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X ND Primary

Addresses

Primary practice location

7151 15TH St S
Fargo, ND 58104-6613

Mailing address

7151 15TH St S
Fargo, ND 58104-6613
Phone (701) 858-0115

Other identifiers 2

IdentifierTypeStateIssuer
10348OtherNDBLUE CROSS
50521MedicaidND

Other names 1

  • Dakota Boys Ranch Fargo RTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dakota Boys Girls Ranch Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1922184167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 15TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046613",
            "telephone_number": "701-858-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 15TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046613",
            "telephone_number": "701-364-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA BOYS & GIRLS RANCH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "701-364-2950"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10348",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50521",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Boys Ranch Fargo RTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 5, 2026; 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.