NPIMap

Organization Active NPI

Thomas R Tippinsdds PC

Doing business as Urbandale Family Dentistry

  • General Practice Dentistry
  • Urbandale, IA
National Provider Identifier
1053405936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
06355 Issued in IA
Legal business name
THOMAS R TIPPINSDDS PC
Doing business as
Urbandale Family Dentistry
Practice address
3124 104TH St
Urbandale, IA 50322-3818
Phone
(515) 276-7925
Fax
(515) 276-7139
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas R Tippins, DDSNPI 1043310543
Title
Pres
Phone
(515) 276-8395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 06355 IA Primary

Addresses

Primary practice location

3124 104TH St
Urbandale, IA 50322-3818

Mailing address

3124 104TH St
Urbandale, IA 50322-3818
Phone (515) 276-7925

Other names 1

  • Urbandale Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3124 104th St
Urbandale, IA 50322
Phone (515) 276-7925

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053405936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 104TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223818",
            "telephone_number": "515-276-7925",
            "fax_number": "515-276-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 104TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223818",
            "telephone_number": "515-276-7925",
            "fax_number": "515-276-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R TIPPINSDDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIPPINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "515-276-8395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urbandale Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.