Active NPI
Mason City Endodontics LLP
- Endodontics
- Mason City, IA
National Provider Identifier
1235790155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- MASON CITY ENDODONTICS LLP
- Practice address
- 1530 S Monroe Ave
Mason City, IA 50401-5606 - Phone
- (641) 530-2657
- NPI assigned
- Jun 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marena Gell
- Title
- Manager
- Phone
- (641) 530-2657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
1530 S Monroe Ave
Mason City, IA 50401-5606
Mailing address
266 Trillium St NW
Concord, NC 28027-7205
Phone (704) 644-9444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205990355 | Other | NC | PROVIDER INFORMATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iowa@nc-endo.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1530 S Monroe Ave
Mason City, IA 50401
Phone (641) 424-1656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577923200000",
"number": "1235790155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 TRILLIUM ST NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277205",
"telephone_number": "704-644-9444",
"fax_number": "704-787-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 S MONROE AVE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504015606",
"telephone_number": "641-530-2657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASON CITY ENDODONTICS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-21",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A",
"authorized_official_last_name": "GELL",
"authorized_official_first_name": "MARENA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "641-530-2657",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER INFORMATION",
"identifier": "1205990355",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iowa@nc-endo.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Mason City",
"address_1": "1530 S Monroe Ave",
"city": "Mason City",
"state": "IA",
"country_code": "US",
"postal_code": "504015606",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 2, 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.