NPIMap

Organization Active NPI

Lifepoint II Dental Group

  • General Practice Dentistry
  • Ankeny, IA
National Provider Identifier
1013215243
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFEPOINT II DENTAL GROUP
Practice address
2785 N Ankeny Blvd Ste 26
Ankeny, IA 50023-4705
Phone
(515) 965-5999
Fax
(515) 965-5832
NPI assigned
Mar 12, 2011
Last updated
Sep 5, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFEPOINT DENTAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Dr. Angelina Blass, DDSNPI 1639292378
Title
Member
Phone
(515) 965-5999

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2785 N Ankeny Blvd Ste 26
Ankeny, IA 50023-4705

Mailing address

2785 N Ankeny Blvd Ste 26
Ankeny, IA 50023-4705
Phone (515) 965-5999

National Provider Directory

National Provider Directory

Locations

2785 N Ankeny Blvd
Ste 26
Ankeny, IA 50023
Phone (515) 965-5999

Practitioners & affiliated clinicians

Practitioners 1

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": "1299888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1013215243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 N ANKENY BLVD STE 26",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234705",
            "telephone_number": "515-965-5999",
            "fax_number": "515-965-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 N ANKENY BLVD STE 26",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234705",
            "telephone_number": "515-965-5999",
            "fax_number": "515-965-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOINT II DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEPOINT DENTAL GROUP, LLC",
        "enumeration_date": "2011-03-12",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "BLASS",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "515-965-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.