Corridor Endodontics LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

CORRIDOR ENDODONTICS LLC

Doing business as

Corridor Endodontics

Practice address

550 Pond View Dr Ste 2
North Liberty, IA 52317-2507

Phone

(319) 459-1975

NPI assigned

Sep 10, 2020

Last updated

Sep 10, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Eggleston, DDS, MSNPI 1912949595

Title

Owner

Phone

(319) 459-1975

Specialties & licenses 1

Addresses

Other names 1

• Corridor Endodontics Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Eggleston, D.D.S., M.S.

  • Endodontics
  • Bettendorf, IA
  • NPI 1912949595
  NPD Authorized official
• Olivia Raye Fisher

  • Endodontics
  • North Liberty, IA
  • NPI 1730645078
  NPD
• Ben Cooper Jorgensen, DDS

  • Endodontics
  • North Liberty, IA
  • NPI 1649521121
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1033724679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POND VIEW DR STE 2",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172507",
            "telephone_number": "319-459-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POND VIEW DR STE 2",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172507",
            "telephone_number": "319-459-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-459-1975",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corridor Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Hale Cook, MA
• Meghan Michelle Cooley, DNP, FNP-C
• Daniel D Coons, PA-C
• Erin Cordes, LPT
• Corridor Christian Counseling Center
• Corridor Endodontics PC
• Corridor Pharmacy
• Tara Cruise, LMFT
• Joshua W Curphy, ARNP
• Kayla V Davis, D.C.

• Endodontics in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Endodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.