DR DUANE KRIVARCHKA, DDS, PC (NPI# 1275944407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275944407 |
| Entity Type | Organization |
| Organization Name | DR DUANE KRIVARCHKA, DDS, PC |
| Practice Address |
11 11th Ave W Lisbon ND 58054 |
| Mailing Address |
Po Box 233 11 11th Ave W Lisbon ND 58054 |
| Practice Telephone | 7016834455 |
| Mailing Telephone | 7016834455 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |
| Authorized Official Name | HEATHER BERGEMANN (OFFICE MANAGER) |
| Authorized Official Telephone | 7016834455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1677 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 40908 | 05 |
| Street Address |
11 11TH AVE W |
| City | LISBON |
| State | ND |
| Zip Code | 58054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548715790 | Dr. Ryan Dalh, Dds, PC | Clinic/Center | 11 11th Ave W, Lisbon, ND 58054-4306 | 2016-08-17 |
| 1295185007 | Ryan Dahl | Dentist | 11 11th Ave W, Lisbon, ND 58054-4306 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407999022 | Jodi Kae Sandness-rieger | Chiropractor | 15 - 11th Ave W, Lisbon, ND 58054 | 2007-02-14 |
| 1588724553 | First Medic Ambulance Service of Ransom County Inc | Ambulance | 1100 Oak St, Lisbon, ND 58054 | 2006-12-11 |
| 1558433227 | Tricia Ann Roesler | Dietitian, Registered | 403 Elm Street, Lisbon, ND 58054 | 2006-11-15 |
| 1417932823 | Meredith K Kelsen | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054 | 2005-12-08 |
| 1760021745 | Mobilityplus Rehabilitation, Ltd | Occupational Therapist | 802 Main St, Lisbon, ND 58054 | 2019-12-23 |
| 1811168958 | Lisbon Area Health Services | Emergency Medicine | 905 Main Street, Lisbon, ND 58054 | 2008-03-17 |
| 1992815294 | Ryan M Nelson | Dentist | 420 Main Street, Lisbon, ND 58054 | 2006-08-30 |
| 1952331159 | Family Medical Clinic PC | Family Medicine | 10 9th Ave E, Lisbon, ND 58054 | 2006-07-04 |
| 1477538775 | Barbara Sheets Olson | Family Medicine | 10 9th Ave E, Lisbon, ND 58054 | 2005-12-08 |
| 1558562975 | County of Ransom | Public Health or Welfare | 403 Elm Street, Lisbon, ND 58054-0089 | 2007-05-31 |
| Find all providers in zip 58054 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720290430 | Francis H. Zeck, Jr., Dds Ltd | Clinic/Center | 513 Main Street, Lisbon, ND 58054-0947 | 2007-05-04 |
| 1891261061 | Derek Hiam, Dds, Pllc | Clinic/Center | 513 Main St, Lisbon, ND 58054-4145 | 2018-10-15 |
| 1548715790 | Dr. Ryan Dalh, Dds, PC | Clinic/Center | 11 11th Ave W, Lisbon, ND 58054-4306 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215465372 | Amundson Dental Associates | Clinic/Center | 2600 Demers Ave Ste 107, Grand Forks, ND 58201-4100 | 2017-06-01 |
| 1093241846 | Serenity Valley Family Dentistry | Clinic/Center | 3633 Lincoln St S, Suite C, Fargo, ND 58104-7770 | 2017-05-11 |
| 1508249186 | Clausnitzer Dentistry, P.C. | Clinic/Center | 1110 College Dr Ste 108, Bismarck, ND 58501-1207 | 2015-07-01 |
| 1528455813 | Concept Dentistry, PC | Clinic/Center | 5675 26th Ave S, Suite 116, Fargo, ND 58104-8598 | 2015-04-24 |
| 1558754036 | Cristopher Turman P.C. | Clinic/Center | 521 Beaver Ave, Wishek, ND 58495-7033 | 2015-03-09 |
| 1447658950 | Heidi Nichols-johnson, Dds | Clinic/Center | 4900 Ottawa St, Suite 200, Bismarck, ND 58503-6154 | 2014-12-16 |
| 1205234721 | Bismarck Family Dental,pc | Clinic/Center | 115 W Century Ave Ste C, Bismarck, ND 58503-1403 | 2014-12-16 |
| 1902203854 | Northcreek Dental, PC | Clinic/Center | 333 Main Ave S, Hankinson, ND 58041-4100 | 2014-11-20 |
| 1992107122 | Dakota Dental | Clinic/Center | 2605 19th Ave W, Suite 102, Williston, ND 58801-2892 | 2014-09-18 |
| 1285043802 | Lidgerwood Dental Office | Clinic/Center | 19 Wiley Ave S, Lidgerwood, ND 58053-4001 | 2014-08-07 |
| Find all providers with the same taxonomy | ||||
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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.