NPIMap

Organization Active NPI

Monticello Family Dentistry, P.C.

  • General Practice Dentistry
  • Monticello, IA
National Provider Identifier
1487812582
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07230 Issued in IA
Legal business name
MONTICELLO FAMILY DENTISTRY, P.C.
Practice address
630 S Main St
Monticello, IA 52310-1709
Phone
(319) 465-3533
Fax
(319) 465-4947
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Shelly R Aitchison
Title
Office Manager
Phone
(319) 465-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 07230 IA Primary

Addresses

Primary practice location

630 S Main St
Monticello, IA 52310-1709

Mailing address

630 S Main St
PO Box 416
Monticello, IA 52310-1709
Phone (319) 465-3533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1487812582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S MAIN ST",
            "address_2": "PO BOX 416",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101709",
            "telephone_number": "319-465-3533",
            "fax_number": "319-465-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S MAIN ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101709",
            "telephone_number": "319-465-3533",
            "fax_number": "319-465-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "AITCHISON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-465-3533"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.