Active NPI
Mt Pleasant Dental Associates, P.C.
- Dental Clinic/Center
- Mt Pleasant, IA
National Provider Identifier
1417097445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 7586
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156091 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Mt Pleasant, IA
- NPI 1346380920
-
- Dentist
- Mount Pleasant, IA
- NPI 1801234711
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.