Individual provider Active NPI

Daniel David Finn II, DDS

  • General Practice Dentistry
  • Perry, IA
National Provider Identifier
1336353218
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7023 Issued in IA
Practice address
2605 Iowa St
Perry, IA 50220
Phone
(515) 465-2633
Fax
(515) 465-5719
NPI assigned
May 9, 2007
Reactivated
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7023 IA Primary

Addresses

Primary practice location

2605 Iowa St
Perry, IA 50220

Mailing address

PO Box 397
Perry, IA 50220
Phone (515) 465-2633

Other identifiers 1

IdentifierTypeStateIssuer
2220913MedicaidIA

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
I20160919001385 IA Order and Referring Only - DentistPractitioner - Dentist 2769779743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laughlin Family Dentistry General Practice PastSince Sep 1, 2023 Accepting new patients

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1336353218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "50220",
            "telephone_number": "515-465-2633",
            "fax_number": "515-465-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 IOWA ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "50220",
            "telephone_number": "515-465-2633",
            "fax_number": "515-465-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINN",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-24",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2220913",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

Verify at the official NPI Registry.