Active NPI
Steven D Spotts, MD
- Otolaryngology Physician
- Bismarck, ND
National Provider Identifier
1942249750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 5311
- Practice address
- 401 N 9TH St
Bismarck, ND 58501-4507 - Phone
- (701) 530-6000
- Fax
- (701) 530-6430
- NPI assigned
- Jun 6, 2006
- Last updated
- Aug 10, 2010
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 5311 | ND | Primary |
Addresses
Primary practice location
401 N 9TH St
Bismarck, ND 58501-4507
Mailing address
401 N 9TH St
Bismarck, ND 58501-4507
Phone (701) 530-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15240 | Medicaid | ND | |
| 040009719 | Other | ND | MEDICARE RAILROAD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5311 | ND | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Dakota Clinic, Inc. | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Bismarck, ND
- NPI 1275587826
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- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1942249750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014507",
"telephone_number": "701-530-6000",
"fax_number": "701-530-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014507",
"telephone_number": "701-530-6000",
"fax_number": "701-530-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOTTS",
"first_name": "STEVEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ND",
"license": "5311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15240",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "040009719",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
- Vernelle Louise Spencer, LMSW
- Christine Sperle, RRT
- Kimberly Sperle
- Chris Spies, D.D.S.
- Spine, Orthopedic and Pain Center PC (Spine & Pain Center)
- Joel H Springan, OD
- Sree, Inc (Visiting Angels Bismarck)
- St Alexius Medical Center (CHI St. Alexius Health)
- St Alexius Medical Center (Urgent Care Pinehurst)
- St Alexius Medical Center (Urgent Care on 43rd)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.