Lifepoint IV Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08472 Issued in IA

Legal business name

LIFEPOINT IV DENTAL GROUP LLC

Practice address

110 SE Grant St
Suite 101
Ankeny, IA 50021-3151

Phone

(515) 965-1800

Fax

(888) 278-0530

NPI assigned

Jun 3, 2015

Organization subpart

Yes

Parent organization

LIFEPOINT DENTAL GROUPAs reported in NPPES

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

Authorized official

Name

Aaron M Blass

Title

President

Phone

(515) 965-1800

Specialties & licenses 1

Addresses

Other names 1

• Lifepoint Dental Partners IV LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory Campbell Garner, DDS

  • Dentist
  • Des Moines, IA
  • NPI 1841429172
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1154701316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 SW 9TH ST",
            "address_2": "SUITE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503157677",
            "telephone_number": "515-243-7641",
            "fax_number": "888-278-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SE GRANT ST",
            "address_2": "SUITE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500213151",
            "telephone_number": "515-965-1800",
            "fax_number": "888-278-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOINT IV DENTAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEPOINT DENTAL GROUP",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "BLASS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-965-1800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifepoint Dental Partners IV LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Lewis
• Shannon M Lewis, CADC
• Jaclyn Leya, LCSW
• Lifebridge Iowa
• Lifepoint II Dental Group
• Lifeworks Counseling and Educational Services Inc
• Jessica Sue Lilland, GNP
• Caroline Julie Linde, T-LMHC
• Stephanie Lingen, PHARMD
• Amy Lippman, TLMFT

• All providers in Ankeny, IA
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.