NPIMap

Organization Active NPI

Restoration Dental and Implant Center, PC

  • General Practice Dentistry
  • Washington, IA
National Provider Identifier
1053183558
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RESTORATION DENTAL AND IMPLANT CENTER, PC
Practice address
1004 E Washington St
Washington, IA 52353
Phone
(319) 653-2201
NPI assigned
Oct 27, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Eric Chad De Boef, DDSNPI 1619058427
Title
President
Phone
(641) 673-3008

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1004 E Washington St
Washington, IA 52353

Mailing address

105 High Ave East
Oskaloosa, IA 52577
Phone (641) 673-3008

National Provider Directory

National Provider Directory

Locations

105 High Ave E
Oskaloosa, IA 52577

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": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1053183558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HIGH AVE EAST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "52577",
            "telephone_number": "641-673-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E WASHINGTON ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "52353",
            "telephone_number": "319-653-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION DENTAL AND IMPLANT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "DE BOEF",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-673-3008",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.