Dental Impressions LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08106 Issued in IA

Legal business name

DENTAL IMPRESSIONS LLC

Practice address

205 SE Oralabor Rd
Suite E
Ankeny, IA 50021-9104

Phone

(515) 965-0230

Fax

(515) 965-2484

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Jill Foust, D.D.S.NPI 1073666350

Title

Owner

Phone

(515) 965-0230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amanda Jill Foust, D.D.S.

  • General Practice Dentistry
  • Ankeny, IA
  • NPI 1073666350
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457404741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE ORALABOR RD",
            "address_2": "SUITE E",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219104",
            "telephone_number": "515-965-0230",
            "fax_number": "515-965-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE ORALABOR RD",
            "address_2": "SUITE E",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500219104",
            "telephone_number": "515-965-0230",
            "fax_number": "515-965-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPRESSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOUST",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-965-0230",
        "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": "08106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ankeny, IA
• Providers in Ankeny, IA by specialty
• General Practice Dentistry in Iowa

• 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.