OTTO WILLIAM DOHM DDS,MS
NPI 1619193919
Dentist - Periodontics in Bismarck, ND

Q: What is Otto Dohm's NPI number?

The NPI number for Otto Dohm is 1619193919. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Otto Dohm's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Otto Dohm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 17, 2007PECOS Enrolled

1142 W CAPITOL AVE, BISMARCK, ND 58501(702) 222-8760(701) 222-3162 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Otto William Dohm Dds,ms NPPES

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

OTTO WILLIAM DOHM DDS,MS (NPI 1619193919) is an individual periodontics provider in Bismarck, North Dakota, licensed in North Dakota (1766) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619193919

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameOTTO WILLIAM DOHMCredential: DDS,MS

Location Address1142 W CAPITOL AVEBismarck, ND 58501-1306

Mailing Address1142 W Capitol AveBismarck, ND 58501-1306 · (702) 222-8760 · Fax (701) 222-3162

Phone(702) 222-8760

Fax(701) 222-3162

Sole ProprietorNo

Enumeration DateApril 17, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619193919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in ND · 1766

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1142 W CAPITOL AVE, Bismarck, ND 58501

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Other Identifiers 3

Other901766ND · Dsc Identifier

Medicare ID-Type UnspecifiedN5082ND

Medicaid41031ND

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Otto William Dohm Dds,ms 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 58501 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.

OTTO W. DOHM, DDS, MS, PC

Dentist (Periodontics)

1142 W CAPITOL AVE
BISMARCK, ND 58501

Burleigh County (701) 222-8760

SKYTLAND PERIO PLLC

Dentist (Periodontics)

1142 W CAPITOL AVE
BISMARCK, ND 58501

Burleigh County (701) 222-8760

BRADY SKYTLAND

Dentist (Periodontics)

1142 W CAPITOL AVE
BISMARCK, ND 58501

Burleigh County (701) 222-8760

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 Otto Dohm's NPI number?

The NPI number for Otto Dohm is 1619193919. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Otto Dohm located?

Otto Dohm practices at 1142 W Capitol Ave, Bismarck, ND 58501. The listed phone number is (702) 222-8760.

What is Otto Dohm's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Otto Dohm enrolled in Medicare?

Yes. Otto Dohm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Otto Dohm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.