David Clark Masdea Jr.
Individual provider Active NPI Homemaker · New Rockford, ND
NPI 1255281069 · NPPES record last updated Jan 31, 2026
Key facts
- NPI
- 1255281069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- MAS91-4910 (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
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAS91-4910 | ND | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | MAS91-4910 | ND | Yes |
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
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- Michael Kenneth Nicolai
- Dusti L Nystrom
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All providers in New Rockford, ND · Homemaker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.