BLAKE RISTVEDT (NPI# 1598147787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598147787 |
| Entity Type | Individual |
| Full Name | BLAKE RISTVEDT |
| Credential | D.D.S. |
| Practice Address |
117 N Washington St Grand Forks ND 58203-3450 |
| Practice Telephone | 7017461481 |
| Mailing Telephone | 7017461481 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2254 | ND | Dental Providers |
| Street Address |
117 N WASHINGTON ST |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58203-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699879213 | James Richard O'connell | Dentist | 117 N Washington St, Grand Forks, ND 58203-3450 | 2006-09-12 |
| 1568903243 | M.s. Johnson PC | Clinic/Center | 117 N Washington St, Grand Forks, ND 58203-3450 | 2017-03-15 |
| 1184009839 | Center for Smile Design, Ltd | Clinic/Center | 117 N Washington St, Grand Forks, ND 58203-3450 | 2015-07-23 |
| 1740690031 | Margaret Landry | Acupuncturist | 117 N Washington St, Center for Healing and Wholeness Ste B, Grand Forks, ND 58203-3450 | 2014-05-07 |
| 1912155151 | Center for Healing and Wholeness | Clinic/Center | 117 N Washington St, Grand Forks, ND 58203-3450 | 2008-08-29 |
| 1083779029 | David C Magnuson | Acupuncturist | 117 N Washington St, Grand Forks, ND 58203-3450 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354978 | Valley Med Flight Inc | Ambulance | 2403 Air Cargo Dr, Grand Forks, ND 58203 | 2010-08-20 |
| 1285842765 | Amanda Caroline Ostlie | Physical Therapy Assistant | 1809 5th Ave N, Grand Forks, ND 58203 | 2007-05-18 |
| 1346396314 | Carla Steen | Speech-Language Pathologist | 501 N Columbia Rd Stop 8040, Grand Forks, ND 58203 | 2007-01-25 |
| 1457408239 | Rebecca Ann Westereng | Dietitian, Registered | 725 Hamline St Altru Family Medicine Residency, Grand Forks, ND 58203 | 2007-01-04 |
| 1912063587 | Northridge Counseling Centre Inc | Counselor | 215 N 3rd Street, Suite 202a, Grand Forks, ND 58203 | 2006-12-28 |
| 1245318625 | Charles Lee Bridgeford | Dentist | 117 North Washington Street, Grand Forks, ND 58203 | 2006-11-01 |
| 1497833933 | Casey J Ryan | Internal Medicine | 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 | 2006-11-01 |
| 1033217955 | Diane Kay Baumbach | Social Worker | 2755 10th Ave N, Grand Forks, ND 58203 | 2006-09-21 |
| 1841217320 | Heidi J Philpot | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2006-07-17 |
| 1902415805 | Aura Patricia Ileto Azarcon | Student in an Organized Health Care Education/Training Program | 725 Hamline Street, Altru Family Medicine Residency, Grand Forks, ND 58203 | 2020-07-27 |
| Find all providers in zip 58203 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879738 | Navneet Kaur Grewal | Dentist | 3300 32nd Ave S Ste 103, Grand Forks, ND 58201-5803 | 2018-08-01 |
| 1669895744 | Steven M. Erlandson D.d.s. P.C. | Dentist | 2401 So. Washington Street Suite D, Grand Forks, ND 58201 | 2014-01-27 |
| 1275817645 | David E Walker | Dentist | 1165 S Columbia Rd, Grand Forks, ND 58201-4007 | 2011-10-04 |
| 1134358476 | Heather N. Petricig | Dentist | 1101 S Columbia Rd Ste B, Grand Forks, ND 58201-4055 | 2009-07-08 |
| 1083852115 | Curtis Kei Tanabe | Dentist | 1197 S Columbia Rd, Grand Forks, ND 58201-4033 | 2009-01-28 |
| 1043474729 | Brian J Nord | Dentist | 2720 17th Avenue South, Grand Forks, ND 58201 | 2008-07-11 |
| 1811194129 | Robert A Olson | Dentist | 1197 A South Columbia Road, Suite A, Grand Forks, ND 58201 | 2007-06-29 |
| 1245318625 | Charles Lee Bridgeford | Dentist | 117 North Washington Street, Grand Forks, ND 58203 | 2006-11-01 |
| 1992885602 | John Alfred Anderson Jr. | Dentist | 3425 S Washington St, Grand Forks, ND 58201-7101 | 2006-10-17 |
| 1780776112 | John W Mosher | Dentist | 2812 17th Ave S Ste F, Grand Forks, ND 58201-4048 | 2006-09-30 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58203 |
Please comment or provide details below to improve the information on BLAKE RISTVEDT.
| 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.