Organization Active NPI

Mobiledental, Inc.

  • Dental Clinic/Center
  • West Burlington, IA
National Provider Identifier
1437339355
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOBILEDENTAL, INC.
Practice address
313 E Agency Rd Ste 11
West Burlington, IA 52655-2000
Phone
(319) 754-1527
Fax
(319) 758-0407
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mr. Richard John Taeger
Title
Vice President
Phone
(319) 754-1527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

313 E Agency Rd Ste 11
West Burlington, IA 52655-2000

Mailing address

313 E Agency Rd Ste 11
West Burlington, IA 52655-2000
Phone (319) 754-1527

National Provider Directory

National Provider Directory

Locations

313 E Agency Rd
Ste 11
West Burlington, IA 52655
Phone (319) 754-1527

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1437339355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E AGENCY RD STE 11",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526552000",
            "telephone_number": "319-754-1527",
            "fax_number": "319-758-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E AGENCY RD STE 11",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526552000",
            "telephone_number": "319-754-1527",
            "fax_number": "319-758-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEDENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "TAEGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "319-754-1527",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.