Individual provider Active NPI

Jonathan Jeffrey Karch, D.D.S.

  • Dentist
  • Johnston, IA
National Provider Identifier
1013329978
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-09288 Issued in IA
Practice address
5495 NW 100TH St
Johnston, IA 50131
Phone
(515) 331-1600
Fax
(515) 207-4441
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS-09288 IA Primary

Addresses

Primary practice location

5495 NW 100TH St
Johnston, IA 50131

Mailing address

5495 NW 100TH St
Johnston, IA 50131-4808
Phone (515) 331-1600

Other practice location 1

5495 NW 100th St
Johnston, IA 50131
Phone (515) 331-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207001662 TX Order and Referring Only - DentistPractitioner - Dentist 1254631658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS-09288IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Landon Road Partners LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1013329978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5495 NW 100TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501314808",
            "telephone_number": "515-331-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 NW 100TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "50131",
            "telephone_number": "515-331-1600",
            "fax_number": "515-207-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5495 NW 100th St",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "IA",
            "postal_code": "50131",
            "country_code": "US",
            "telephone_number": "515-331-1600",
            "fax_number": "515-207-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARCH",
        "first_name": "JONATHAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.