NPIMap

Organization Active NPI

Expressions Dental, L.L.C.

  • General Practice Dentistry
  • Boone, IA
National Provider Identifier
1124153952
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
06321 Issued in IA
Legal business name
EXPRESSIONS DENTAL, L.L.C.
Practice address
703 8TH St
Boone, IA 50036-2727
Phone
(515) 432-5826
Fax
(515) 432-1721
NPI assigned
Feb 22, 2007
Last updated
Feb 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Dr. John Edward Clary, D.D.S.NPI 1962584151
Title
Owner
Phone
(515) 232-0558

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 06321 IA Primary

Addresses

Primary practice location

703 8TH St
Boone, IA 50036-2727

Mailing address

703 8TH St
Boone, IA 50036-2727
Phone (515) 432-5826

National Provider Directory

National Provider Directory

Locations

703 8th St
Boone, IA 50036
Phone (515) 432-5826

Practitioners & affiliated clinicians

Practitioners 4

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1124153952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 8TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362727",
            "telephone_number": "515-432-5826",
            "fax_number": "515-432-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 8TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362727",
            "telephone_number": "515-432-5826",
            "fax_number": "515-432-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONS DENTAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "CLARY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-232-0558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.