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DAKOTA COLLEGE AT BOTTINEAU
NPI 1528931532
Dental Assistant in Minot, ND

Active since September 25, 2025CLIA 35D2202135 · Waiver
120 BURDICK EXPY E, MINOT, ND 58701(701) 858-3184 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dakota College At Bottineau NPPES

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

DAKOTA COLLEGE AT BOTTINEAU (NPI 1528931532) is a healthcare organization registered as a dental assistant in Minot, North Dakota and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Jennifer Mattson, Controller, as its authorized official.

NPPES Registry Identity

NPI1528931532
Entity TypeOrganization
Primary Taxonomy126800000X
Legal Business NameDAKOTA COLLEGE AT BOTTINEAU
Location Address120 BURDICK EXPY EMinot, ND 58701-4434
Mailing Address105 Simrall BlvdBottineau, ND 58318-1198 · (701) 228-5433
Phone(701) 858-3184
Organization SubpartNo
Authorized OfficialJennifer MattsonController · (701) 228-5433
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1528931532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDental HygienistTaxonomy 124Q00000X
120 BURDICK EXPY E, Minot, ND 58701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2202135

Dakota College At Bottineau · Bottineau, ND
Active · expires Nov 23, 2026
CLIA Number35D2202135
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorSusan Brandvold
Laboratory Phone(701) 228-5460
Laboratory LocationDakota College At Bottineau105 Simrall Blvd, Bottineau, ND 58318
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TRINITY HEALTH
Ophthalmology
120 BURDICK EXPY E
MINOT, ND 58701
Ward County (701) 857-3500

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 Dakota College At Bottineau's NPI number?

The NPI number for Dakota College At Bottineau is 1528931532. It was assigned to this organization in the NPPES registry on September 25, 2025.

Where is Dakota College At Bottineau located?

Dakota College At Bottineau is located at 120 Burdick Expy E, Minot, ND 58701. The listed phone number is (701) 858-3184.

What is Dakota College At Bottineau's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Does Dakota College At Bottineau hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2202135) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dakota College At Bottineau was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.