Organization Active NPI

Throckmorton Dental, LLC

Doing business as North Ankeny Family Dentistry

  • Dental Clinic/Center
  • Ankeny, IA
National Provider Identifier
1376303438
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Brandon A Throckmorton, DDSNPI 1740841592
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.