Organization Active NPI

Donald L Good DDS PC

  • Dentist
  • Ames, IA
National Provider Identifier
1487707683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
05623 Issued in IA
Legal business name
DONALD L GOOD DDS PC
Practice address
405 5TH Street
Ames, IA 50010
Phone
(515) 233-2898
Fax
(515) 232-0875
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald L Good, DDS
Title
President
Phone
(515) 233-2898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 05623 IA Primary

Addresses

Primary practice location

405 5TH Street
Ames, IA 50010

Mailing address

405 5TH Street
Ames, IA 50010
Phone (515) 233-2898

Other identifiers 1

IdentifierTypeStateIssuer
0064709MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1487707683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 5TH STREET",
            "city": "AMES",
            "state": "IA",
            "postal_code": "50010",
            "telephone_number": "515-233-2898",
            "fax_number": "515-232-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 5TH STREET",
            "city": "AMES",
            "state": "IA",
            "postal_code": "50010",
            "telephone_number": "515-233-2898",
            "fax_number": "515-232-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L GOOD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-233-2898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "05623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064709",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • 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.