Active NPI
Derek Furrow, DDS
- Dentist
- Johnston, IA
National Provider Identifier
1285164251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-09414
- Practice address
- 5965 Merle Hay Rd Ste a
Johnston, IA 50131-1396 - Phone
- (515) 253-0405
- NPI assigned
- Jun 13, 2017
- Last updated
- Apr 29, 2022
- 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 | DDS-09414 | IA | Primary |
Addresses
Primary practice location
5965 Merle Hay Rd Ste a
Johnston, IA 50131-1396
Mailing address
PO Box 448
Johnston, IA 50131-0448
Phone (515) 253-0405
Other practice location 1
5541 NW 86th St
Johnston, IA 50131-1702
Phone (515) 276-2500
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 |
|---|---|---|---|
| DDS-09414 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Furrow Family Dentistry, PLC | Current | Accepting new patients |
Locations
5965 Merle Hay Rd
Ste A
Johnston, IA 50131
Phone (515) 253-0405
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.
-
- General Practice Dentistry
- Johnston, IA
- NPI 1851041917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1285164251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 448",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501310448",
"telephone_number": "515-253-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 MERLE HAY RD STE A",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311396",
"telephone_number": "515-253-0405"
}
],
"practiceLocations": [
{
"address_1": "5541 NW 86th St",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "IA",
"postal_code": "501311702",
"country_code": "US",
"telephone_number": "515-276-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FURROW",
"first_name": "DEREK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-09414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.