Organization Active NPI

Mother Ship LLC

Doing business as Moffitt Dental

  • Dental Clinic/Center
  • Eagle Grove, IA
National Provider Identifier
1376408609
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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)CodeLicenseStatePrimary
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 Doing business as
  • Manson Dental Other name
  • Moffitt Dental Center Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.