NPIMap

Organization Active NPI

Corridor Endodontics PC

  • Dental Clinic/Center
  • North Liberty, IA
National Provider Identifier
1326454042
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
09095 Issued in IA
Legal business name
CORRIDOR ENDODONTICS PC
Practice address
550 Pond View Dr
Suite 2
North Liberty, IA 52317-2507
Phone
(319) 459-1975
Fax
(319) 459-1977
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Ben Jorgensen, DDSNPI 1649521121
Title
Owner
Phone
(319) 800-9077

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
Dental Clinic/Center 261QD0000X 09095 IA Primary

Addresses

Primary practice location

550 Pond View Dr
Suite 2
North Liberty, IA 52317-2507

Mailing address

550 Pond View Dr
Suite 2
North Liberty, IA 52317-2507
Phone (319) 459-1975

National Provider Directory

National Provider Directory

Locations

550 Pond View Dr
Ste 2
North Liberty, IA 52317
Phone (319) 459-1975

Practitioners & affiliated clinicians

Practitioners 2

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": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1326454042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POND VIEW DR",
            "address_2": "SUITE 2",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172507",
            "telephone_number": "319-459-1975",
            "fax_number": "319-459-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POND VIEW DR",
            "address_2": "SUITE 2",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172507",
            "telephone_number": "319-459-1975",
            "fax_number": "319-459-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-800-9077",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "09095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.