DAKOTA CLINIC, LTD; NPI #1558451757

Contact Information

DAKOTA CLINIC, LTD

1702 UNIVERSITY DR S
FARGO, ND 58103-4940

Phone: 701-364-3300
Fax: 701-364-8906
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mammography Radiologic Technologist	2471M2300X
Chiropractor	111N00000X	35	Chiropractic
Family	103TF0000X	62	Psychologist, Clinical
Family Medicine	207Q00000X	08	Physician/Family Practice
Nutrition, Education	133NN1002X
Optometrist	152W00000X	41	Optometry
Physical Therapist	225100000X	65	Physical Therapist in Private Practice
Physician Assistant	363A00000X	97	Physician Assistant
Podiatrist	213E00000X	48	Podiatry
Registered Nurse	163W00000X
Speech-Language Pathologist	235Z00000X	15	Speech Language Pathologist

Indicates primary specialty

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NPI Profile & details for DAKOTA CLINIC, LTD

NPI Number 1558451757

LBN Legal business name DAKOTA CLINIC, LTD

Authorized official LARRY SOLBERG - (ADMINISTRATOR-AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/16/2006

Last updated 09/11/2025 - About 9 months ago

Identifiers

Medicaid

10046

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DAKOTA CLINIC, LTD

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NPI Profile & details for DAKOTA CLINIC, LTD

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