Organization Active NPI

Iowa Kids Pediatric Dentistry, Inc

  • Pediatric Dentistry
  • Marion, IA
National Provider Identifier
1508627795
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
IOWA KIDS PEDIATRIC DENTISTRY, INC
Practice address
100 6TH Ave
Marion, IA 52302-3201
Phone
(319) 449-6789
Fax
(319) 449-6785
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Dr. Kaaren Vargas, DDS, PHDNPI 1063516060
Title
President
Phone
(319) 621-6326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

100 6TH Ave
Marion, IA 52302-3201

Mailing address

4680 Rapid Creek Rd NE
Iowa City, IA 52240-7722
Phone (319) 621-6326

National Provider Directory

National Provider Directory

Locations

100 6th Ave
Marion, IA 52302
Phone (319) 449-6789

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1508627795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 RAPID CREEK RD NE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522407722",
            "telephone_number": "319-621-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 6TH AVE",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023201",
            "telephone_number": "319-449-6789",
            "fax_number": "319-449-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA KIDS PEDIATRIC DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "KAAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-621-6326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.