Active NPI
Robert Raymond Pipho, DDS
- Dentist
- La Porte City, IA
National Provider Identifier
1336302769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8556
- Practice address
- 508 Highway 218 N
La Porte City, IA 50651-1009 - Phone
- (319) 342-3622
- Fax
- (319) 342-3627
- NPI assigned
- Jul 7, 2008
- Last updated
- Aug 15, 2024
- 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 | 8556 | IA | Primary |
Addresses
Primary practice location
508 Highway 218 N
La Porte City, IA 50651-1009
Mailing address
PO Box 196
La Porte City, IA 50651
Phone (319) 342-3622
Other practice location 1
PO Box 580
Denver, IA 50622-0580
Phone (319) 984-6191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160405000764 | IA | Order and Referring Only - Dentist | 2668779729 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8556 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pipho Family Dentistry | Current | Accepting new patients | |
| Denver Family Dental, PLLC | Current | Accepting new patients | |
| Donna D Pipho DDS | Dentist | Past | Accepting new patients |
Locations
131 Tower St
Denver, IA 50622
Phone (319) 984-6191
508 Highway 218 N
La Porte City, IA 50651
Phone (319) 342-3622
Organizations & group practices 3
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
- La Porte City, IA
- NPI 1598900938
-
- General Practice Dentistry
- Denver, IA
- NPI 1659198000
-
- Dentist
- La Porte City, IA
- NPI 1730347337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1336302769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 196",
"city": "LA PORTE CITY",
"state": "IA",
"postal_code": "50651",
"telephone_number": "319-342-3622",
"fax_number": "319-342-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 HIGHWAY 218 N",
"city": "LA PORTE CITY",
"state": "IA",
"postal_code": "506511009",
"telephone_number": "319-342-3622",
"fax_number": "319-342-3627"
}
],
"practiceLocations": [
{
"address_1": "PO Box 580",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "IA",
"postal_code": "506220580",
"country_code": "US",
"telephone_number": "319-984-6191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIPHO",
"first_name": "ROBERT",
"middle_name": "RAYMOND",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2024-08-15",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "8556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Porte City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.