Organization Active NPI

Indianola Dental Associates Inc PC

  • General Practice Dentistry
  • Indianola, IA
National Provider Identifier
1336308014
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
06922 Issued in IA
Legal business name
INDIANOLA DENTAL ASSOCIATES INC PC
Practice address
212 North Buxton
Indianola, IA 50125-2431
Phone
(515) 961-0534
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. David Alan Zaboral
Title
President
Phone
(515) 961-0534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 06922 IA Primary

Addresses

Primary practice location

212 North Buxton
Indianola, IA 50125-2431

Mailing address

212 North Buxton
Indianola, IA 50125-2431
Phone (515) 961-0534

National Provider Directory

National Provider Directory

Locations

212 N Buxton St
Indianola, IA 50125
Phone (515) 721-8830

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1336308014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NORTH BUXTON",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252431",
            "telephone_number": "515-961-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NORTH BUXTON",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252431",
            "telephone_number": "515-961-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANOLA DENTAL ASSOCIATES INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "ZABORAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-961-0534",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.