Organization Active NPI

Iola Family Dental, LLC

  • Dental Clinic/Center
  • Iola, WI
National Provider Identifier
1447875711
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IOLA FAMILY DENTAL, LLC
Doing business as
Iola Family Dental,LLC
Practice address
100 Pine Crest LN
Iola, WI 54945-8230
Phone
(715) 445-2435
NPI assigned
Jun 12, 2020
Last updated
Jan 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Kayla Thorpe
Title
Office Manager
Phone
(920) 982-3567

Specialties & licenses 1

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

Addresses

Primary practice location

100 Pine Crest LN
Iola, WI 54945-8230

Mailing address

100 Pine Crest LN
Iola, WI 54945-8230

Other names 1

  • Iola Family Dental,LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1447875711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINE CREST LN",
            "city": "IOLA",
            "state": "WI",
            "postal_code": "549458230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINE CREST LN",
            "city": "IOLA",
            "state": "WI",
            "postal_code": "549458230",
            "telephone_number": "715-445-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOLA FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-982-3567"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iola Family Dental,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iola, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.