Active NPI
Throckmorton Dental, LLC
Doing business as North Ankeny Family Dentistry
- Dental Clinic/Center
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- THROCKMORTON DENTAL, LLC
- Doing business as
- North Ankeny Family Dentistry
- Practice address
- 1200 NW 36TH St Ste 400
Ankeny, IA 50023-8445 - Phone
- (712) 790-6465
- NPI assigned
- Mar 19, 2024
- Last updated
- Mar 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandon A Throckmorton, DDS
- Title
- DDS, Owner
- Phone
- (712) 790-6465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
1200 NW 36TH St Ste 400
Ankeny, IA 50023-8445
Mailing address
3003 NW Maple CT
Ankeny, IA 50023-7931
Phone (712) 790-7733
Other names 1
- North Ankeny Family Dentistry
National Provider Directory
National Provider DirectoryLocations
1200 NW 36th St
Ste 400
Ankeny, IA 50023
Phone (712) 790-6465
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Ankeny, IA
- NPI 1740841592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1376303438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 NW MAPLE CT",
"city": "ANKENY",
"state": "IA",
"postal_code": "500237931",
"telephone_number": "712-790-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NW 36TH ST STE 400",
"city": "ANKENY",
"state": "IA",
"postal_code": "500238445",
"telephone_number": "712-790-6465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THROCKMORTON DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "THROCKMORTON",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DDS, OWNER",
"authorized_official_telephone_number": "712-790-6465",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Ankeny Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.