NPIMap

Organization Active NPI

Central Park Dentistry

  • General Practice Dentistry
  • Mason City, IA
National Provider Identifier
1427079201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07322 Issued in IA
Legal business name
CENTRAL PARK DENTISTRY
Practice address
23 N Federal Ave
Mason City, IA 50401-3250
Phone
(641) 423-4225
Fax
(641) 423-1697
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jay A . Lala, D.D.S.NPI 1275554768
Title
Owner
Phone
(641) 423-4225

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 07322 IA Primary

Addresses

Primary practice location

23 N Federal Ave
Mason City, IA 50401-3250

Mailing address

23 N Federal Ave
Mason City, IA 50401-3250
Phone (641) 423-4225

Other identifiers 1

IdentifierTypeStateIssuer
0094094MedicaidIA

National Provider Directory

National Provider Directory

Locations

23 N Federal Ave
Mason City, IA 50401
Phone (641) 423-4225

Practitioners & affiliated clinicians

Practitioners 9

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427079201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013250",
            "telephone_number": "641-423-4225",
            "fax_number": "641-423-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013250",
            "telephone_number": "641-423-4225",
            "fax_number": "641-423-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LALA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A .",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-423-4225",
        "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": "07322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094094",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.