Organization Active NPI

Hawkeye Family Dental

  • Dentist
  • Iowa City, IA
National Provider Identifier
1184938755
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08287 Issued in IA
Legal business name
HAWKEYE FAMILY DENTAL
Practice address
1705 S 1St Ave Ste P
Iowa City, IA 52240-6037
Phone
(319) 338-7172
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Rocky Leroy Hamilton
Title
Business Manager
Phone
(319) 338-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 08287 IA Primary

Addresses

Primary practice location

1705 S 1St Ave Ste P
Iowa City, IA 52240-6037

Mailing address

220 N 2ND St
Wapello, IA 52653-1202
Phone (319) 527-6421

National Provider Directory

National Provider Directory

Locations

1705 S 1st Ave
Ste P
Iowa City, IA 52240
Phone (319) 338-7172

220 N 2nd St
Wapello, IA 52653
Phone (319) 527-6421

Practitioners & affiliated clinicians

Practitioners 2

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": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1184938755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N 2ND ST",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526531202",
            "telephone_number": "319-527-6421",
            "fax_number": "319-527-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S 1ST AVE STE P",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406037",
            "telephone_number": "319-338-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "319-338-7172"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "08287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.