Organization Active NPI

Hintz Family Dentistry Marshalltown PC

  • Dentist
  • Marshalltown, IA
National Provider Identifier
1467834010
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08568 Issued in IA
Legal business name
HINTZ FAMILY DENTISTRY MARSHALLTOWN PC
Practice address
15 E Southridge Rd
Marshalltown, IA 50158-4550
Phone
(641) 753-1374
Fax
(641) 751-1193
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Jerad L Hintz, DDS
Title
President
Phone
(641) 753-1374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 08568 IA Primary

Addresses

Primary practice location

15 E Southridge Rd
Marshalltown, IA 50158-4550

Mailing address

15 E Southridge Rd
Marshalltown, IA 50158-4550
Phone (641) 753-1374

National Provider Directory

National Provider Directory

Locations

15 E Southridge Rd
Marshalltown, IA 50158
Phone (641) 351-4003

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1467834010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E SOUTHRIDGE RD",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584550",
            "telephone_number": "641-753-1374",
            "fax_number": "641-751-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E SOUTHRIDGE RD",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584550",
            "telephone_number": "641-753-1374",
            "fax_number": "641-751-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINTZ FAMILY DENTISTRY MARSHALLTOWN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "HINTZ",
        "authorized_official_first_name": "JERAD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-753-1374",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "08568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.