Organization Active NPI

Mt Pleasant Dental Associates, P.C.

  • Dental Clinic/Center
  • Mt Pleasant, IA
National Provider Identifier
1417097445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7586 Issued in IA
Legal business name
MT PLEASANT DENTAL ASSOCIATES, P.C.
Practice address
304 N Jefferson St
Mt Pleasant, IA 52641-1621
Phone
(319) 385-8912
Fax
(319) 385-4532
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffery Edward Sitar, D.D.S.NPI 1346380920
Title
Owner
Phone
(319) 385-3795

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 7586 IA Primary

Addresses

Primary practice location

304 N Jefferson St
Mt Pleasant, IA 52641-1621

Mailing address

304 N Jefferson St
Mt Pleasant, IA 52641-1621
Phone (319) 385-8912

Other identifiers 1

IdentifierTypeStateIssuer
0156091MedicaidIA

National Provider Directory

National Provider Directory

Locations

304 N Jefferson St
Mt Pleasant, IA 52641
Phone (319) 385-8912

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417097445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N JEFFERSON ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411621",
            "telephone_number": "319-385-8912",
            "fax_number": "319-385-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N JEFFERSON ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411621",
            "telephone_number": "319-385-8912",
            "fax_number": "319-385-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SITAR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-385-3795",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "7586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156091",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.