Individual provider Active NPI

David Clark Masdea Jr.

  • Homemaker
  • New Rockford, ND
National Provider Identifier
1255281069
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
MAS91-4910 Issued in ND
Practice address
834 3Rd Ave N Apt 2
New Rockford, ND 58356-1508
Phone
(701) 515-1062
Fax
(701) 515-1062
NPI assigned
Jan 31, 2026
Last updated
Jan 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X MAS91-4910 ND Primary

Addresses

Primary practice location

834 3Rd Ave N Apt 2
New Rockford, ND 58356-1508

Mailing address

616 2ND Ave S
New Rockford, ND 58356-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MAS91-4910NDMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1769817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1255281069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 2ND AVE S",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 3RD AVE N APT 2",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561508",
            "telephone_number": "701-515-1062",
            "fax_number": "701-515-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASDEA",
        "first_name": "DAVID",
        "middle_name": "CLARK",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-31",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "ND",
            "license": "MAS91-4910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rockford, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.