CHRISTOPHER PAUL BOTHUN DDS
NPI 1306374277
Dentist in Grand Forks, ND

Active since May 23, 2017PECOS Enrolled
4000 17TH AVE S, GRAND FORKS, ND 58201(701) 775-0641 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 23, 2017 (2 updates tracked since 2017).

About Christopher Paul Bothun Dds NPPES

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

CHRISTOPHER PAUL BOTHUN DDS (NPI 1306374277) is an individual dentist in Grand Forks, North Dakota, licensed in North Dakota (2312) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306374277
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCHRISTOPHER PAUL BOTHUNCredential: DDS
Location Address4000 17TH AVE SGrand Forks, ND 58201-3905
Mailing Address4000 17th Ave SGrand Forks, ND 58201-3905 · (701) 775-0641
Sole ProprietorNo
Enumeration DateMay 23, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1306374277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ND · 2312
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.
4000 17TH AVE S, Grand Forks, ND 58201

Accepted 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)

Christopher Paul 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 3

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

Dentist
4000 17TH AVE S
GRAND FORKS, ND 58201
Dentist (General Practice)
4000 17TH AVE S
GRAND FORKS, ND 58201
Dentist
4000 17TH AVE S
GRAND FORKS, ND 58201

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 Christopher Bothun's NPI number?

The NPI number for Christopher Bothun is 1306374277. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Christopher Bothun located?

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

What is Christopher Bothun's specialty?

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

Is Christopher Bothun enrolled in Medicare?

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

What insurance does Christopher Bothun accept?

Health plans from Blue Cross Blue Shield of North Dakota, Delta Dental of Minnesota and Florida Combined Life list Christopher 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 Christopher Bothun was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.