NPIMap

Organization Active NPI

Mark E. Jahraus, DDS, PC

Doing business as Jahraus Dental Clinic

  • General Practice Dentistry
  • Hazen, ND
National Provider Identifier
1972723609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1731 Issued in ND
Legal business name
MARK E. JAHRAUS, DDS, PC
Doing business as
Jahraus Dental Clinic
Practice address
204 2ND Ave NE
Hazen, ND 58545-0642
Phone
(701) 748-2730
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark E. Jahraus, D.D.S.NPI 1528288255
Title
Corp. Pres.
Phone
(701) 748-2730

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1731 ND Primary

Addresses

Primary practice location

204 2ND Ave NE
Hazen, ND 58545-0642

Mailing address

PO Box 642
Hazen, ND 58545-0642
Phone (701) 748-2730

Other names 1

  • Jahraus Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

204 2nd Ave NE
Hazen, ND 58545
Phone (701) 748-2730

Practitioners & affiliated clinicians

Practitioners 4

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972723609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "585450642",
            "telephone_number": "701-748-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 2ND AVE NE",
            "city": "HAZEN",
            "state": "ND",
            "postal_code": "585450642",
            "telephone_number": "701-748-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. JAHRAUS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAHRAUS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CORP. PRES.",
        "authorized_official_telephone_number": "701-748-2730",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jahraus Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazen, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.