Individual provider Active NPI

Derek Furrow, DDS

  • Dentist
  • Johnston, IA
National Provider Identifier
1285164251
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-09414 Issued in IA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DDS-09414IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Furrow Family Dentistry, PLC CurrentSince May 1, 2022 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.

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.

Verify at the official NPI Registry.