OrganizationActive
Living Well Dakota
NPI 1619647211 · Clinic/Center · Bismarck, ND
Living Well Dakota is a Clinic/Center organization in Bismarck, ND (NPI 1619647211).
Provider details
- NPI number
- 1619647211
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jody Tanner, Provider(701) 989-8251
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1140 W Capitol Ave
Bismarck, ND 58501-1306
Phone: (701) 989-8251
Street-level locationGet directions
Mailing address
6612 Dakota Country Dr
Bismarck, ND 58503-1550
Registry dates
- Enumerated
- 2021-09-15
- Last updated
- 2021-09-15
- Certified
- 2021-09-15
Frequently asked questions
- What is Living Well Dakota's NPI number?
- Living Well Dakota's National Provider Identifier (NPI) is 1619647211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Well Dakota?
- Living Well Dakota is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Living Well Dakota located?
- Living Well Dakota's practice location on file with NPPES is 1140 W Capitol Ave, Bismarck, ND 58501-1306.
- What is Living Well Dakota's phone number?
- The practice phone number listed in the NPPES registry for Living Well Dakota is (701) 989-8251.
- Who is the authorized official for Living Well Dakota?
- The authorized official listed on Living Well Dakota's NPPES record is Jody Tanner, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Well Dakota's NPI active?
- Yes — Living Well Dakota's NPI (1619647211) is active in the NPPES registry as of the last update on 2021-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.