Organization Active NPI

Family First Dental Associates of Sac City, P.C.

Doing business as Family 1st Dental of Lake View

  • General Practice Dentistry
  • Lake View, IA
National Provider Identifier
1013183789
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY FIRST DENTAL ASSOCIATES OF SAC CITY, P.C.
Doing business as
Family 1st Dental of Lake View
Practice address
1160 3Rd St
Lake View, IA 51450-7612
Phone
(712) 657-3061
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Charles S. Skoglund, DDS
Title
Owner
Phone
(402) 644-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1160 3Rd St
Lake View, IA 51450-7612

Mailing address

1160 3Rd St
Lake View, IA 51450-7612
Phone (712) 657-3061

Other names 1

  • Family 1st Dental of Lake View Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family 1St Dental of Lake View2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1013183789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 3RD ST",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "514507612",
            "telephone_number": "712-657-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 3RD ST",
            "city": "LAKE VIEW",
            "state": "IA",
            "postal_code": "514507612",
            "telephone_number": "712-657-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST DENTAL ASSOCIATES OF SAC CITY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "SKOGLUND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-644-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family 1st Dental of Lake View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake View, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.