Active NPI
Moreland-Bender Dental Associates,LLP
- Dentist
- Iowa City, IA
National Provider Identifier
1205910924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 07551
- Legal business name
- MORELAND-BENDER DENTAL ASSOCIATES,LLP
- Doing business as
- Advanced Dentistry of Iowa City
- Practice address
- 1513 Mall Dr
Iowa City, IA 52240-3111 - Phone
- (319) 354-1409
- Fax
- (319) 354-3113
- NPI assigned
- Oct 25, 2006
- 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
- Mrs. Pamela Ruth Pump, CDA,RDA
- Title
- Office Manager
- Phone
- (319) 354-1409
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 05960 | IA | |
| Dentist | 122300000X | 07551 | IA | Primary |
Addresses
Primary practice location
1513 Mall Dr
Iowa City, IA 52240-3111
Mailing address
1513 Mall Dr
Iowa City, IA 52240-3111
Phone (319) 354-1409
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41887 | Other | IA | DELTA AND WELLMARK |
| 26043 | Other | IA | DELTA AND WELLMARK |
Other names 1
- Advanced Dentistry of Iowa City
National Provider Directory
National Provider DirectoryLocations
1513 Mall Dr
Iowa City, IA 52240
Phone (319) 354-1409
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Iowa City, IA
- NPI 1003812017
-
- General Practice Dentistry
- Iowa City, IA
- NPI 1619972528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205910924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 MALL DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522403111",
"telephone_number": "319-354-1409",
"fax_number": "319-354-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 MALL DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522403111",
"telephone_number": "319-354-1409",
"fax_number": "319-354-3113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORELAND-BENDER DENTAL ASSOCIATES,LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PUMP",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "319-354-1409",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CDA,RDA"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IA",
"license": "05960",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IA",
"license": "07551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA AND WELLMARK",
"identifier": "41887",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA AND WELLMARK",
"identifier": "26043",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Dentistry of Iowa City",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.