Individual provider Active NPI

Robert Raymond Pipho, DDS

  • Dentist
  • La Porte City, IA
National Provider Identifier
1336302769
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8556 Issued in IA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405000764 IA Order and Referring Only - DentistPractitioner - Dentist 2668779729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8556IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pipho Family Dentistry CurrentSince Sep 29, 2024 Accepting new patients
Denver Family Dental, PLLC CurrentSince Sep 29, 2024 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.

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

Verify at the official NPI Registry.