Active NPI
Megan Joann Diaz-Freed, DDS
- Dentist
- Calmar, IA
National Provider Identifier
1275784605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08588
- Practice address
- 205 S Webster St
Calmar, IA 52132-0818 - Phone
- (563) 562-9034
- NPI assigned
- Oct 3, 2008
- Last updated
- Oct 3, 2008
- Sex
- Female
- 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 | 08588 | IA | Primary |
Addresses
Primary practice location
205 S Webster St
Calmar, IA 52132-0818
Mailing address
PSC 557
Box 1336
Fpo, AP 96379-0379
Phone 08033146578
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08588 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1275784605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 557",
"address_2": "BOX 1336",
"city": "FPO",
"state": "AP",
"postal_code": "963790379",
"telephone_number": "08033146578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S WEBSTER ST",
"city": "CALMAR",
"state": "IA",
"postal_code": "521320818",
"telephone_number": "563-562-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ-FREED",
"first_name": "MEGAN",
"middle_name": "JOANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calmar, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.