NPIMap

Organization Active NPI

Healthy Smiles Family Dentistry, PC

  • Dental Clinic/Center
  • Muscatine, IA
National Provider Identifier
1386206969
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HEALTHY SMILES FAMILY DENTISTRY, PC
Practice address
1616 Young Ave
Muscatine, IA 52761-3435
Phone
(563) 263-0017
NPI assigned
Jul 3, 2019
Last updated
Jul 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Dr. Vanessa General Wadden, DDSNPI 1295397875
Title
Owner /Dentist
Phone
(563) 263-0017

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 Primary

Addresses

Primary practice location

1616 Young Ave
Muscatine, IA 52761-3435

Mailing address

1616 Young Ave
Muscatine, IA 52761-3435
Phone (563) 263-0017

National Provider Directory

National Provider Directory

Locations

1616 Young Ave
Muscatine, IA 52761
Phone (563) 263-0017

Practitioners & affiliated clinicians

Practitioners 2

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": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1386206969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 YOUNG AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613435",
            "telephone_number": "563-263-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 YOUNG AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613435",
            "telephone_number": "563-263-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "WADDEN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "GENERAL",
        "authorized_official_title_or_position": "OWNER /DENTIST",
        "authorized_official_telephone_number": "563-263-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.