DR. SHELLEY DENE TOWNSEND-HANSEN (NPI# 1780285924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780285924 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY DENE TOWNSEND-HANSEN |
| Credential | DDS |
| Practice Address |
1017 Broadway N Fargo ND 58102 |
| Practice Telephone | 7012373725 |
| Practice Fax Number | 7012373276 |
| Mailing Telephone | 7012373725 |
| Mailing Fax Number | 7012373276 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1562 | ND | Dental Providers |
| Street Address |
1017 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip Code | 58102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| 1639457112 | Amanda Marie Williams | Speech-Language Pathologist | 415 4th St. N. Fargo Public Schools, Fargo, ND 58102 | 2011-08-01 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625126 | Candid North Dakota, Pllc | Dentist | 122 Broadway N, Fargo, ND 58102-4926 | 2020-09-23 |
| 1538203393 | Orthodontic Associates PC | Dentist | 1017 N Broadway, Fargo, ND 58102-3645 | 2007-02-16 |
| 1588715130 | Ryan M West | Dentist | 1220 Main Ave Ste 210, Fargo, ND 58103-8201 | 2007-01-12 |
| 1609250620 | West & Ehlis Orthodontic Management Company LLC | Dentist | 4710 Amber Valley Pkwy S, Suite B, Fargo, ND 58104-8694 | 2015-07-20 |
| 1710006945 | Michael L Keim | Dentist | 2585 23rd Ave S, Suite B, Fargo, ND 58103-6172 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518205202 | Tyler Carl Prestwich | Dentist | 1015 S Broadway Ste 17, Minot, ND 58701-4667 | 2013-01-30 |
| 1962650838 | Anthony Edgar Fisher | Dentist | 215 W Highland Dr, Williston, ND 58801-4114 | 2008-09-04 |
| 1730356833 | Dustin Allen Hollevoet | Dentist | 1165 W Turnpike Ave, Bismarck, ND 58501-8115 | 2008-05-08 |
| 1710159579 | Jeremiah Kim Danel | Dentist | 2650 32nd Ave South, Grand Forks, ND 58201 | 2008-04-01 |
| 1144431909 | Alison M Fallgatter | Dentist | 920 10th St. Ne, Suite A, Jamestown, ND 58401 | 2007-05-24 |
| 1386851517 | Edward James Werre | Dentist | 419 Dakota Ave, Wahpeton, ND 58075-4413 | 2007-05-17 |
| 1710106166 | Tracy R Reiner | Dentist | 215 West Highland Drive, Suite D, Williston, ND 58801 | 2007-04-24 |
| 1295958890 | Gary Cornforth | Dentist | 406 1st Ave N, Jamestown, ND 58401-3302 | 2007-04-11 |
| 1699896621 | Michiel Nuveen | Dentist | 1165 S Columbia Rd Ste A, Grand Forks, ND 58201-4007 | 2007-04-03 |
| 1831101120 | Brian R Jesperson | Dentist | 531 S 7th St, Bismarck, ND 58504-5859 | 2006-08-13 |
| 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.