Active NPI
Paul Harvey Readhead, DDS
- Dentist
- Ames, IA
National Provider Identifier
1215198197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 05716
- Practice address
- 2720 Stange Rd
Ames, IA 50010-3974 - Phone
- (515) 268-0516
- Fax
- (515) 268-9161
- NPI assigned
- Jun 23, 2008
- Last updated
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 05716 | IA | Primary |
Addresses
Primary practice location
2720 Stange Rd
Ames, IA 50010-3974
Mailing address
2720 Stange Rd
Ames, IA 50010-3974
Phone (515) 268-0516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1075010 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05716 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry at Somerset, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Maintenance Organization
- Ames, IA
- NPI 1942363411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1215198197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 STANGE RD",
"city": "AMES",
"state": "IA",
"postal_code": "500103974",
"telephone_number": "515-268-0516",
"fax_number": "515-268-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 STANGE RD",
"city": "AMES",
"state": "IA",
"postal_code": "500103974",
"telephone_number": "515-268-0516",
"fax_number": "515-268-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READHEAD",
"first_name": "PAUL",
"middle_name": "HARVEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "05716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1075010",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
- Justin Wade Rash, PHARMD
- Jason Thomas Rasmussen, MD
- Tarra Linn Rawdon, ATC
- Read Health Center, Inc.
- Barbara Kruse Read, D.C.
- Real Optics Inc (Eyemart Optical in Ames)
- Real Optics Inc (Vogue Vision in Ames)
- Lindsey Rearigh, DO
- Rebarcak Chiropractic PLC (Rebarcak Chiropractic Back Care Center)
- Brady James Rebarcak, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.