Organization Active NPI

Medi-Dent, Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Mason City, IA
National Provider Identifier
1235660259
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
MEDI-DENT, INC
Practice address
1050 15TH St SW
Suite #2
Mason City, IA 50401-5677
Phone
(641) 450-0281
Fax
(641) 450-0284
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Mr. Francis Joseph ConnellyNPI 1225570294
Title
Owner/Partner
Phone
(641) 450-0281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

1050 15TH St SW
Suite #2
Mason City, IA 50401-5677

Mailing address

1050 15TH St SW
Suite #2
Mason City, IA 50401-5677
Phone (641) 450-0281

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1235660259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 15TH ST SW",
            "address_2": "SUITE #2",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015677",
            "telephone_number": "641-450-0281",
            "fax_number": "641-450-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 15TH ST SW",
            "address_2": "SUITE #2",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015677",
            "telephone_number": "641-450-0281",
            "fax_number": "641-450-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-DENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "641-450-0281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.