SLENDERLITE, LLC


Address: 4344 20th Ave S, Fargo, ND 58103-7436
Phone: 7012777200

SLENDERLITE, LLC (NPI# 1437558608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437558608
Entity Type Organization
Organization Name SLENDERLITE, LLC
Other Organization Name SKIN APPEAL
Practice Address 4344 20th Ave S
Fargo
ND 58103-7436
Practice Telephone 7012777200
Mailing Telephone 7012777200
Enumeration Date 2014-08-14
Last Update Date 2014-08-14
Authorized Official Name STEVEN M BAGAN (OWNER)
Authorized Official Telephone 7012938242
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Skin Appeal Doing Business As Name - Organization

Office Location

Street Address 4344 20TH AVE S
City FARGO
State ND
Zip Code 58103-7436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487747267 Steven M Bagan Ophthalmology 4344 20th Ave S, Fargo, ND 58103-4434 2006-10-02
1053604397 Matthew T Sanders Optometrist 4344 20th Ave S, # 1, Fargo, ND 58103-7436 2011-05-19
1477872034 Vision Optical LLC Eyewear Supplier (Equipment, not the service) 4344 20th Ave S, Fargo, ND 58103-7436 2010-05-21
1275862344 Steven M Bagan, Md PC Ophthalmology 4344 20th Ave S, Fargo, ND 58103-7436 2009-12-18
1750616835 Sarah Swanholm Optometrist 4344 20th Ave S, Fargo, ND 58103-7436 2009-10-07
1508048521 Jonathan Russell Gray Dentist 4344 20th Ave S, Fargo, ND 58103-7436 2007-11-30
1114047230 Laser & Surgery Center, LLC Clinic/Center 4344 20th Ave S, Fargo, ND 58103-4434 2007-03-30
1629147723 Charles A Crago Dentist 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 2006-11-06
1295804300 Face and Jaw Surgeons PC Dentist 4344 20th Ave S, Ste 2, Fargo, ND 58103-7436 2006-11-06
1780761031 Scott A Preisler Dentist 4344 20th Ave S, Suite 2, Fargo, ND 58103-7436 2006-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083089312 Heartsprings Clinic/Center 2010 Elm St N, Fargo, ND 58102-2425 2015-12-11
1932453404 Smith Sisters Inc Clinic/Center 3175 Sienna Dr S Ste 103, Fargo, ND 58104-8910 2012-11-05
1144487893 Core Health Chiro Pa Clinic/Center 4955 17th Ave S, Suite 108, Fargo, ND 58103 2008-05-20
1386281475 Northern Neurosurgery and Spine Plc Clinic/Center 2829 University Dr S Ste 202, Fargo, ND 58103-6050 2019-12-08
1891295242 Ideal Option, Pllc Clinic/Center 3345 39th St S Ste 1, Fargo, ND 58104-7539 2018-02-12
1538617642 Access Independent Health Services, Inc. Clinic/Center 512 1st Ave N, Fargo, ND 58102-4804 2016-09-18
1780043257 Innovis Health LLC Clinic/Center 4110 51st Ave S, Fargo, ND 58104-7776 2016-02-12
1922350636 20-20 Vision Express LLC Clinic/Center 1300 Gateway Dr S, Fargo, ND 58103-3509 2012-10-04
1134445794 Midwest Hypnosis Clinics/nwcc Clinic/Center 118 Broadway N, Suite 205, Fargo, ND 58102-4950 2010-04-07
1881864163 Robert J. Schulte, Jr. Pa Clinic/Center 2800 University Dr S, Fargo, ND 58103-6030 2008-03-03
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Competitor

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City FARGO
Zip Code 58103

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Dataset Information

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.

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