CMS-1500 Box 24J / 33a • NPI
1366500878
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
235Z00000X (CMS 15)
Licensed & Credentialed Speech, Language and Hearing Service Providers
Box 32 Service Location & ZIP+4
705 PLEASANT AVE S, PARK RAPIDS, MN, 56470-1440
✓ 9-Digit EDI 837 ZIP+4 (56470-1440)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1366500878 (DAKOTA CLINIC, LTD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1366500878 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | DAKOTA CLINIC, LTD |
| Plain-English Specialty | Licensed & Credentialed Speech, Language and Hearing Service Providers NUCC Code: 235Z00000X (Speech-Language Pathologist, ) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 705 PLEASANT AVE S, PARK RAPIDS, MN, 56470-1440 |
| Practice Telephone / Fax | Tel: (218) 732-2800 | Fax: (218) 732-2857 |
| Administrative Mailing Address | PO BOX 6001, FARGO, ND, 58108-6001 |
| Enumeration & Last Sync | Enumerated: 2006-12-05 | CMS Record Updated: 2025-09-11 |
| Authorized Official | LARRY SOLBERG (ADMINISTRATOR-AUTHORIZED OFFICIAL) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (235Z00000X)
What Does Taxonomy Code 235Z00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 235Z00000X translates to:
"Licensed & Credentialed Speech, Language and Hearing Service Providers"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DAKOTA CLINIC, LTD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: MN | License: Verified | Primary: Secondary |
133V00000X — Dietitian, RegisteredPlain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered | State: MN | License: Verified | Primary: Secondary |
163W00000X — Registered NursePlain English: Licensed & Credentialed Registered Nurse | State: MN | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: MN | License: Verified | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: MN | License: Verified | Primary: Secondary |
235Z00000X — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers | State: MN | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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