NPIMap

Organization Active NPI

Prairie Dental Inc

  • Dentist
  • Bowman, ND
National Provider Identifier
1942579081
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2101 Issued in ND
Legal business name
PRAIRIE DENTAL INC
Practice address
608 Highway 12 W
Bowman, ND 58623-4507
Phone
(701) 523-3255
Fax
(701) 523-5742
NPI assigned
Dec 19, 2011
Last updated
Dec 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Jennifer Sarsland, DDSNPI 1841587615
Title
Dentist
Phone
(701) 523-3255

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2101 ND Primary
Dental Hygienist 124Q00000X NU
Dental Assistant 126800000X NU

Addresses

Primary practice location

608 Highway 12 W
Bowman, ND 58623-4507

Mailing address

PO Box 710
Bowman, ND 58623-0710
Phone (701) 523-3255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1942579081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586230710",
            "telephone_number": "701-523-3255",
            "fax_number": "701-523-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HIGHWAY 12 W",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234507",
            "telephone_number": "701-523-3255",
            "fax_number": "701-523-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "SARSLAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "701-523-3255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2101",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowman, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.