NPIMap

Organization Active NPI

Dental Care, PC

  • General Practice Dentistry
  • Red Oak, IA
National Provider Identifier
1316088396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7636 Issued in IA
Legal business name
DENTAL CARE, PC
Practice address
415 E Coolbaugh St
Red Oak, IA 51566-2319
Phone
(712) 623-3383
NPI assigned
Feb 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kimberly Marie TrukaNPI 1386785350
Title
Owner
Phone
(712) 623-3383

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7636 IA Primary

Addresses

Primary practice location

415 E Coolbaugh St
Red Oak, IA 51566-2319

Mailing address

2824 US Highway 34
Stanton, IA 51573-4106
Phone (712) 829-2263

National Provider Directory

National Provider Directory

Locations

415 E Coolbaugh St
Red Oak, IA 51566
Phone (712) 623-3383

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": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316088396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 US HIGHWAY 34",
            "city": "STANTON",
            "state": "IA",
            "postal_code": "515734106",
            "telephone_number": "712-829-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E COOLBAUGH ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515662319",
            "telephone_number": "712-623-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUKA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-623-3383",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.