Individual provider Active NPI

Paul Harvey Readhead, DDS

  • Dentist
  • Ames, IA
National Provider Identifier
1215198197
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
05716 Issued in IA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1075010MedicaidIA

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

LicenseStateTypeSpecialty
05716IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.