SERENITY VALLEY FAMILY DENTISTRY (NPI# 1093241846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093241846 |
| Entity Type | Organization |
| Organization Name | SERENITY VALLEY FAMILY DENTISTRY |
| Practice Address |
3633 Lincoln St S Suite C Fargo ND 58104-7770 |
| Practice Telephone | 7013730681 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | DR. SHANDRA ROSENFELDT (DOCTOR) |
| Authorized Official Telephone | 7013730681 |
| Authorized Official Credential | D.D,S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SERENITY VALLEY FAMILY DENTISTRY, P.C. | 3633 Lincoln St S Ste C, Fargo, ND 58104-7771 |
| Street Address |
3633 LINCOLN ST S SUITE C |
| City | FARGO |
| State | ND |
| Zip Code | 58104-7770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528455813 | Concept Dentistry, PC | Clinic/Center | 5675 26th Ave S, Suite 116, Fargo, ND 58104-8598 | 2015-04-24 |
| 1184061582 | About Smiles Dental, LLC | Clinic/Center | 4575 23rd Ave S Ste 1200, Fargo, ND 58104-8784 | 2013-05-27 |
| 1215278676 | Anderson & Breding Dental LLC | Clinic/Center | 4521 38th Ave. S., Fargo, ND 58104 | 2013-03-11 |
| 1043514367 | South University Dental Associates, PC | Clinic/Center | 3115 University Dr S, Fargo, ND 58103-6049 | 2010-12-29 |
| 1144450610 | Kangas Hardy Dental PC | Clinic/Center | 1701 38th St Sw, Fargo, ND 58103-4499 | 2009-07-19 |
| 1407030430 | Riverview Family Dental PC | Clinic/Center | 100 4th Street S #304, Fargo, ND 58103-1937 | 2007-12-27 |
| 1477047165 | Majidian Dental PC | Clinic/Center | 1231 27th St S Ste B, Fargo, ND 58103-8722 | 2018-06-18 |
| 1043712888 | Austin Vetter, Dds, LLC | Clinic/Center | 1331 32nd Ave S Ste 3, Fargo, ND 58103-5989 | 2018-03-07 |
| 1093190829 | Eaton Dental, Pllc | Clinic/Center | 1338 Gateway Dr S, Fargo, ND 58103-3512 | 2015-07-22 |
| 1043602386 | Gill Orthodontics | Clinic/Center | 2534 University Dr S, Suite #6, Fargo, ND 58103-5700 | 2015-02-24 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.