Custom Endodontics, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

CUSTOM ENDODONTICS, PC

Practice address

401 W Villard St Ste 104
Dickinson, ND 58601-5283

Phone

(701) 255-2523

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CUSTOM ENDODONTICS, PCAs reported in NPPES

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

Authorized official

Name

Michaela Muniz

Title

VP, Payor Relations

Phone

(469) 324-3242

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Custom Endodontics, PC

  • Endodontics
  • Bismarck, ND
  • NPI 1124468590
  NPPES parent name

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1508760307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W VILLARD ST STE 104",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015283",
            "telephone_number": "701-255-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W VILLARD ST STE 104",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015283",
            "telephone_number": "701-255-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM ENDODONTICS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUSTOM ENDODONTICS, PC",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Cross, MS, BCBA, LBA
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• Crystal Armbrust
• Robert L Cusic, MD
• Marha M Cusick
• Laura D'Antona, COTA
• Jason O Dahl, DDS
• Trista M Dakken
• Dakota & Transit Solutions
• Dakota Home Health Care Agency LLC

• Endodontics in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Endodontics in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.