NPIMap

Organization Active NPI

Timothy J Kreifels DDS PC

  • Dental Clinic/Center
  • Atlantic, IA
National Provider Identifier
1275708117
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6755 Issued in IA
Legal business name
TIMOTHY J KREIFELS DDS PC
Practice address
402 Poplar St
Atlantic, IA 50022-1250
Phone
(712) 243-3275
Fax
(712) 243-8024
NPI assigned
Apr 22, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Timothy J Kreifels, DDSNPI 1174689707
Title
President
Phone
(712) 243-3275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6755 IA Primary

Addresses

Primary practice location

402 Poplar St
Atlantic, IA 50022-1250

Mailing address

402 Poplar St
Atlantic, IA 50022-1250
Phone (712) 243-3275

Other identifiers 1

IdentifierTypeStateIssuer
0190496MedicaidIA

National Provider Directory

National Provider Directory

Locations

402 Poplar St
Atlantic, IA 50022
Phone (712) 243-3275

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1275708117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 POPLAR ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221250",
            "telephone_number": "712-243-3275",
            "fax_number": "712-243-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 POPLAR ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221250",
            "telephone_number": "712-243-3275",
            "fax_number": "712-243-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J KREIFELS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "KREIFELS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-243-3275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190496",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.