NPIMap

Organization Active NPI

The Family Dental Center

  • General Practice Dentistry
  • Coralville, IA
National Provider Identifier
1013174069
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7143 Issued in IA
Legal business name
THE FAMILY DENTAL CENTER
Practice address
2781 Oakdale Blvd Ste 3
Coralville, IA 52241-9751
Phone
(319) 351-3414
Fax
(319) 665-2772
NPI assigned
May 19, 2008
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Gregory Alan Gilbaugh, D.D.S.NPI 1225112907
Title
Owner
Phone
(319) 351-3414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7143 IA Primary

Addresses

Primary practice location

2781 Oakdale Blvd Ste 3
Coralville, IA 52241-9751

Mailing address

2781 Oakdale Blvd Ste 3
Coralville, IA 52241-9751
Phone (319) 351-3414

National Provider Directory

National Provider Directory

Locations

2781 Oakdale Blvd
Ste 3
Coralville, IA 52241
Phone (319) 351-3414

Practitioners & affiliated clinicians

Practitioners 3

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1013174069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 OAKDALE BLVD STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419751",
            "telephone_number": "319-351-3414",
            "fax_number": "319-665-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 OAKDALE BLVD STE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419751",
            "telephone_number": "319-351-3414",
            "fax_number": "319-665-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "GILBAUGH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-351-3414",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.