Active NPI
Mother Ship LLC
Doing business as Moffitt Dental
- Dental Clinic/Center
- Eagle Grove, IA
National Provider Identifier
1376408609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MOTHER SHIP LLC
- Doing business as
- Moffitt Dental
- Practice address
- 322 S Commercial Ave
Eagle Grove, IA 50533-2210 - Phone
- (515) 448-4852
- Fax
- (515) 448-3533
- NPI assigned
- Dec 18, 2025
- Last updated
- Dec 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Moffitt
- Title
- Practice Administrator
- Phone
- (515) 448-4852
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
322 S Commercial Ave
Eagle Grove, IA 50533-2210
Mailing address
322 S Commercial Ave
Eagle Grove, IA 50533-2210
Phone (515) 448-4852
Other practice location 1
1303 11th Ave
Manson, IA 50563-5065
Phone (712) 469-3000
Other names 3
- Moffitt Dental
- Manson Dental
- Moffitt Dental Center
National Provider Directory
National Provider DirectoryLocations
322 S Commercial Ave
Eagle Grove, IA 50533
Phone (515) 448-4852
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Eagle Grove, IA
- NPI 1154613750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766016000000",
"number": "1376408609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S COMMERCIAL AVE",
"city": "EAGLE GROVE",
"state": "IA",
"postal_code": "505332210",
"telephone_number": "515-448-4852",
"fax_number": "515-448-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S COMMERCIAL AVE",
"city": "EAGLE GROVE",
"state": "IA",
"postal_code": "505332210",
"telephone_number": "515-448-4852",
"fax_number": "515-448-3533"
}
],
"practiceLocations": [
{
"address_1": "1303 11th Ave",
"address_purpose": "LOCATION",
"city": "Manson",
"state": "IA",
"postal_code": "505635065",
"country_code": "US",
"telephone_number": "712-469-3000",
"fax_number": "712-469-2552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOTHER SHIP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A",
"authorized_official_last_name": "MOFFITT",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "515-448-4852"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moffitt Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Manson Dental",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Moffitt Dental Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Eagle Grove, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.