NPIMap

Organization Active NPI

Dr. Richard C. Apodaca, PC

  • Dentist
  • Earlham, IA
National Provider Identifier
1427217686
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. RICHARD C. APODACA, PC
Practice address
110 S. Chestnut Ave
Earlham, IA 50072-0190
Phone
(515) 758-2323
Fax
(515) 758-3031
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dr. Richard C. Apodaca, DDSNPI 1518937184
Title
Owner/Dentist
Phone
(515) 758-2323

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

110 S. Chestnut Ave
Earlham, IA 50072-0190

Mailing address

110 S. Chestnut Ave PO Box 190
Earlham, IA 50072-0190
Phone (515) 758-2323

Other identifiers 1

IdentifierTypeStateIssuer
1518937184OtherIANPI INDIVIDUAL PROVIDER #

Other names 1

  • Earlham Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

110 S Chestnut Ave
Earlham, IA 50072
Phone (515) 249-9868

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1427217686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S. CHESTNUT AVE PO BOX 190",
            "city": "EARLHAM",
            "state": "IA",
            "postal_code": "500720190",
            "telephone_number": "515-758-2323",
            "fax_number": "515-758-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S. CHESTNUT AVE",
            "city": "EARLHAM",
            "state": "IA",
            "postal_code": "500720190",
            "telephone_number": "515-758-2323",
            "fax_number": "515-758-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD C. APODACA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "APODACA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "515-758-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER #",
            "identifier": "1518937184",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Earlham Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Earlham, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.