Organization Active NPI

Fargo Family Dentistry PC

  • Dentist
  • Fargo, ND
National Provider Identifier
1992914055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1879 ND Issued in ND
Legal business name
FARGO FAMILY DENTISTRY PC
Practice address
3210 18TH St So
Suite B
Fargo, ND 58104
Phone
(701) 237-6008
Fax
(701) 893-3017
NPI assigned
May 22, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. James J Colbert, DDS
Title
Dentist President
Phone
(701) 237-6008

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1879 ND ND Primary

Addresses

NPPES NPI Registry

Primary practice location

3210 18TH St So
Suite B
Fargo, ND 58104

Mailing address

3210 18TH St So
Suite B
Fargo, ND 58104
Phone (701) 237-6008

Other names 1

NPPES NPI Registry
  • Fargo Family Dentistry Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992914055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 18TH ST SO",
            "address_2": "SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-237-6008",
            "fax_number": "701-893-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 18TH ST SO",
            "address_2": "SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-237-6008",
            "fax_number": "701-893-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARGO FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "701-237-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "1879 ND",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fargo Family Dentistry",
            "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 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.