NPIMap

Organization Active NPI

Marshalltown Family Dentistry

  • General Practice Dentistry
  • Marshalltown, IA
National Provider Identifier
1336584846
Registry record updated May 10, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08964 Issued in IA
Legal business name
MARSHALLTOWN FAMILY DENTISTRY
Practice address
206 E State St
Marshalltown, IA 50158-1714
Phone
(641) 752-4138
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Dr. Michelle Johnson, D.D.S.
Title
Dentist
Phone
(920) 471-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 08964 IA Primary

Addresses

Primary practice location

206 E State St
Marshalltown, IA 50158-1714

Mailing address

206 E State St
Marshalltown, IA 50158-1714
Phone (641) 752-4138

National Provider Directory

National Provider Directory

Locations

206 E State St
Marshalltown, IA 50158
Phone (641) 752-3722

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1336584846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E STATE ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581714",
            "telephone_number": "641-752-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E STATE ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581714",
            "telephone_number": "641-752-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALLTOWN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-471-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.