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Iowa Dental Health Professionals, PC

Organization Active NPI General Practice Dentistry · Ankeny, IA

NPI 1376913780 · NPPES record last updated Sep 28, 2015

Key facts

NPI
1376913780
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
IOWA DENTAL HEALTH PROFESSIONALS, PC
Practice address
2005 SE Delaware Ave
Suite 1
Ankeny, IA 50021-4302
Phone
(515) 446-3896
NPI assigned
Sep 28, 2015
Organization subpart
Yes
Parent organization (as reported)
IOWA DENTAL HEALTH PROFESSIONALS, PC

Authorized official

Name
Kendra Walker
Title
Credentialing Coordinator
Phone
(217) 540-8312

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Iowa Dental Professionals PC (14 organizations share this tax ID)
Part of
Iowa Dental Professionals PC

Locations

2005 SE Delaware Ave
Ste 1
Ankeny, IA 50021
Phone (515) 446-3896

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

2005 SE Delaware Ave
Suite 1
Ankeny, IA 50021-4302

Mailing address

2005 SE Delaware Ave
Suite 1
Ankeny, IA 50021-4302

Other names

  • Smiles on Delaware Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2015.

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1376913780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SE DELAWARE AVE",
            "address_2": "SUITE 1",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SE DELAWARE AVE",
            "address_2": "SUITE 1",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214302",
            "telephone_number": "515-446-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA DENTAL HEALTH PROFESSIONALS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA DENTAL HEALTH PROFESSIONALS, PC",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8312"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles on Delaware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ankeny, IA

All providers in Ankeny, IA · General Practice Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.