University of Iowa College of Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

04869 Issued in IA

Legal business name

UNIVERSITY OF IOWA COLLEGE OF DENTISTRY

Practice address

801 Newton Road
313 DSB S
Iowa City, IA 52242

Phone

(319) 335-7322

NPI assigned

Feb 25, 2013

Last updated

Feb 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Johnsen, DDS

Title

Dean of College of Dentistry

Phone

(319) 335-7144

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry Other name

Locations

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1437499605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 PINE RIDGE TRL NE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522407831",
            "telephone_number": "319-351-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NEWTON ROAD",
            "address_2": "313 DSB S",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-335-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF IOWA COLLEGE OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DEAN OF COLLEGE OF DENTISTRY",
        "authorized_official_telephone_number": "319-335-7144",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "04869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.