Custom Endodontics, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

CUSTOM ENDODONTICS, PC

Practice address

521 E Main Ave
Suite 100
Bismarck, ND 58501-4418

Phone

(701) 255-2523

Fax

(701) 525-5765

NPI assigned

Jul 1, 2013

Last updated

Oct 7, 2026By 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

Michaela Muniz

Title

VP, Payor Relations

Phone

(469) 324-3242

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Custom Endodontics, PC

  • Endodontics
  • Dickinson, ND
  • NPI 1508760307
  NPPES parent name
• Custom Endodontics, PC

  • Endodontics
  • Minot, ND
  • NPI 1962306761
  NPPES parent name

Practitioners 1

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.

• Steven Wayne Osmond, D.D.S., M.S.D.

  • Endodontics
  • Bismarck, ND
  • NPI 1043331861
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1124468590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MAIN AVE STE 100",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014432",
            "telephone_number": "701-255-2523",
            "fax_number": "701-525-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MAIN AVE",
            "address_2": "SUITE 100",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014418",
            "telephone_number": "701-255-2523",
            "fax_number": "701-525-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Curry
• Tara M Curtis-Haberlock, PA
• Cusa Es. LLC Taxi 9000 Bismarck
• Roberta Cusack, RN
• Mason Thomas Custer, D.C.
• D. Michael Goebel D.D.S., PC
• Kara Daavettila, MOT
• Karla Dacar
• Dacotah Foundation
• Alex Dahari

• Endodontics in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Endodontics in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.