NPIMap

Organization Active NPI

MC Dental Corporation, PC

Doing business as Maisey Dental Clinic

  • Dental Clinic/Center
  • Williston, ND
National Provider Identifier
1326515776
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MC DENTAL CORPORATION, PC
Doing business as
Maisey Dental Clinic
Practice address
708 Main St
Williston, ND 58801-5320
Phone
(701) 774-1879
NPI assigned
Oct 24, 2018
Last updated
Oct 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dr. Brock Casperson, D.M.D.
Title
Owner-President/Doctor
Phone
(701) 774-1879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

708 Main St
Williston, ND 58801-5320

Mailing address

708 Main St
Williston, ND 58801-5320
Phone (701) 774-1879

Other names 1

  • Maisey Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1326515776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015320",
            "telephone_number": "701-774-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015320",
            "telephone_number": "701-774-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC DENTAL CORPORATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "CASPERSON",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "OWNER-PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "701-774-1879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maisey Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.