Organization Active NPI

Mason City Endodontics LLP

  • Endodontics
  • Mason City, IA
National Provider Identifier
1235790155
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
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

Updated by the provider on Jan 2, 2020

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1205990355OtherNCPROVIDER INFORMATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iowa@nc-endo.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.