Periodontal Services of Ames, PLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5909 Issued in IA

Legal business name

PERIODONTAL SERVICES OF AMES, PLC

Practice address

515 Grand Ave
Suite 202
Ames, IA 50010-6079

Phone

(515) 233-4013

Fax

(515) 233-6204

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Guy Otto Bilek, D.D.S., M.S.

Title

Owner

Phone

(515) 233-4013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1013174614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 GRAND AVE",
            "address_2": "SUITE 202",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106079",
            "telephone_number": "515-233-4013",
            "fax_number": "515-233-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 GRAND AVE",
            "address_2": "SUITE 202",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106079",
            "telephone_number": "515-233-4013",
            "fax_number": "515-233-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL SERVICES OF AMES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BILEK",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "OTTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-233-4013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": "5909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Peglar, LISW, ACSW
• Ronald David Pehl, DC
• Danielle L Pellow, MD
• Casey Elizabeth Pepper
• Benjamin Perea, MD
• Kristy Huynh Perrin, MD
• Trevor Peters, D.C.
• Lily Elizabeth Peterson-Williby, LISW
• Lisa Peterson
• Tristin Peterson

• Periodontics in Ames, IA
• Providers in Ames, IA by specialty
• Periodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.