Graceland University

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

02206 Issued in IA

Legal business name

GRACELAND UNIVERSITY

Practice address

1 University PL
Lamoni, IA 50140-1641

Phone

(641) 784-5000

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mouzon Bass III

Title

Agent

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• Graceland University SM Doing business as

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1609323245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PL",
            "city": "LAMONI",
            "state": "IA",
            "postal_code": "501401641",
            "telephone_number": "641-784-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "972-367-4845",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IA",
            "license": "02206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceland University SM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Decatur Medical Services, PC
• Dr Zieger
• Benna L Easter, ARNP
• Mark Daniel Easter, M.D.
• Mark E Easter, D.O.
• Dana M. Hoffman, ATC
• Jason Lee Hoffman, DHSC, ATC, LAT
• Dylan Hogan
• Hy-Vee Inc
• Infinity Health

• All providers in Lamoni, IA
• General Practice Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.