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DR. PAUL THOMAS BOTHUN DDS
NPI 1295845790
Dentist in Grand Forks, ND

Active since August 30, 2006PECOS Enrolled
DAKOTA DENTAL ASSOCIATES PC, 4000 17TH AVE S, GRAND FORKS, ND 58201(701) 775-0641(701) 746-9328 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Thomas Bothun Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL THOMAS BOTHUN DDS (NPI 1295845790) is an individual dentist in Grand Forks, North Dakota, licensed in North Dakota (1791) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295845790
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PAUL THOMAS BOTHUNCredential: DDS
Location AddressDAKOTA DENTAL ASSOCIATES PC, 4000 17TH AVE SGrand Forks, ND 58201-3905
Mailing AddressDakota Dental Associates Pc, 4000 17th Ave SGrand Forks, ND 58201-3905 · (701) 775-0641 · Fax (701) 746-9328
Phone(701) 775-0641
Fax(701) 746-9328
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 8, 2021
NPPES CertifiedMay 8, 2021
✔ NPI 1295845790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ND · 1791
Definition
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.
DAKOTA DENTAL ASSOCIATES PC, Grand Forks, ND 58201
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Other Identifiers 2

Other788399United Concordia
Other901791ND · Dental Services Corp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Thomas Bothun Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEIDI NICOLE UNDLIN STEVENS DDS
Dentist
DAKOTA DENTAL ASSOCIATES PC, 4000 17TH AVE S
GRAND FORKS, ND 58201
Grand Forks County (701) 775-0641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Bothun's NPI number?

The NPI number for Paul Bothun is 1295845790. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Paul Bothun located?

Paul Bothun practices at Dakota Dental Associates PC 4000 17th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 775-0641.

What is Paul Bothun's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Paul Bothun enrolled in Medicare?

Yes. Paul Bothun is registered in the Medicare PECOS enrollment system.

What insurance does Paul Bothun accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Minnesota and 1 other insurer list Paul Bothun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Bothun was last updated on May 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.