Active NPI
Iowa Center for Orofacial Health and Development PC
- General Practice Dentistry
- Pella, IA
National Provider Identifier
1083330500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- IOWA CENTER FOR OROFACIAL HEALTH AND DEVELOPMENT PC
- Practice address
- 2018 Washington St
Pella, IA 50219-7881 - Phone
- (641) 629-6815
- Fax
- (641) 628-2465
- NPI assigned
- Oct 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Dahm, DDS
- Title
- Owner
- Phone
- (641) 629-6815
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
2018 Washington St
Pella, IA 50219-7881
Mailing address
PO Box 132
Pella, IA 50219-0132
Phone (641) 629-6815
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pella, IA
- NPI 1467635961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1083330500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 132",
"city": "PELLA",
"state": "IA",
"postal_code": "502190132",
"telephone_number": "641-629-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 WASHINGTON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502197881",
"telephone_number": "641-629-6815",
"fax_number": "641-628-2465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOWA CENTER FOR OROFACIAL HEALTH AND DEVELOPMENT PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "DAHM",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "641-629-6815",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.