NPIMap

Organization Active NPI

Nicholas C. Dorsher, D.D.S., LTD.

  • General Practice Dentistry
  • Fargo, ND
National Provider Identifier
1942464888
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1930 Issued in ND
Legal business name
NICHOLAS C. DORSHER, D.D.S., LTD.
Practice address
118 Broadway N Ste 711
Fargo, ND 58102-4948
Phone
(701) 237-4331
Fax
(701) 365-2000
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Nicholas C. Dorsher, D.D.S.NPI 1548371792
Title
Ownerdentist
Phone
(701) 237-4331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 1930 ND Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2027 ND

Addresses

Primary practice location

118 Broadway N Ste 711
Fargo, ND 58102-4948

Mailing address

118 Broadway N Ste 711
Fargo, ND 58102-4948
Phone (701) 237-4331

Other identifiers 1

IdentifierTypeStateIssuer
ND41389MedicaidND

National Provider Directory

National Provider Directory

Locations

118 Broadway N
Ste 711
Fargo, ND 58102
Phone (701) 237-4331

Practitioners & affiliated clinicians

Practitioners 1

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": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1942464888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BROADWAY N STE 711",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024948",
            "telephone_number": "701-237-4331",
            "fax_number": "701-365-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BROADWAY N STE 711",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024948",
            "telephone_number": "701-237-4331",
            "fax_number": "701-365-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS C. DORSHER, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "DORSHER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNERDENTIST",
        "authorized_official_telephone_number": "701-237-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1930",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ND41389",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 10, 2008; 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.