Organization Active NPI

Moreland-Bender Dental Associates,LLP

  • Dentist
  • Iowa City, IA
National Provider Identifier
1205910924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07551 Issued in IA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 05960 IA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
41887OtherIADELTA AND WELLMARK
26043OtherIADELTA AND WELLMARK

Other names 1

  • Advanced Dentistry of Iowa City Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.