Active NPI
Le Mars Dental Center
- General Practice Dentistry
- Le Mars, IA
National Provider Identifier
1124710306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LE MARS DENTAL CENTER
- Practice address
- 1311 Hawkeye Ave SW
Le Mars, IA 51031-1866 - Phone
- (712) 546-5183
- NPI assigned
- May 24, 2023
- 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
- Dr. Travis Matthew Van Roekel, DDS
- Title
- Owner/Dentist
- Phone
- (712) 546-5183
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1311 Hawkeye Ave SW
Le Mars, IA 51031-1866
Mailing address
1311 Hawkeye Ave SW
Le Mars, IA 51031-1866
Phone (712) 546-5183
National Provider Directory
National Provider DirectoryLocations
1311 Hawkeye Ave SW
Le Mars, IA 51031
Phone (712) 546-5183
Practitioners & 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
- Le Mars, IA
- NPI 1043889546
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1124710306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 HAWKEYE AVE SW",
"city": "LE MARS",
"state": "IA",
"postal_code": "510311866",
"telephone_number": "712-546-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 HAWKEYE AVE SW",
"city": "LE MARS",
"state": "IA",
"postal_code": "510311866",
"telephone_number": "712-546-5183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE MARS DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "VAN ROEKEL",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "712-546-5183",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Le Mars, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.