NPIMap

Organization Active NPI

Davidson Family Dentistry, LLC

  • Dental Clinic/Center
  • Urbandale, IA
National Provider Identifier
1164928388
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVIDSON FAMILY DENTISTRY, LLC
Practice address
8573 Urbandale Ave
Urbandale, IA 50322-4108
Phone
(515) 279-3848
Fax
(515) 279-4479
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Mrs. Diane M Davidson, JD
Title
Clinic Admin.
Phone
(515) 279-3848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8573 Urbandale Ave
Urbandale, IA 50322-4108

Mailing address

8573 Urbandale Ave
Urbandale, IA 50322-4108
Phone (515) 279-3848

National Provider Directory

National Provider Directory

Locations

8573 Urbandale Ave
Urbandale, IA 50322
Phone (515) 279-3848

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1164928388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8573 URBANDALE AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224108",
            "telephone_number": "515-279-3848",
            "fax_number": "515-279-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8573 URBANDALE AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224108",
            "telephone_number": "515-279-3848",
            "fax_number": "515-279-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC ADMIN.",
        "authorized_official_telephone_number": "515-279-3848",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 5, 2018; 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.