Active NPI
Iowa Kids Pediatric Dentistry, Inc
- Pediatric Dentistry
- Marion, IA
National Provider Identifier
1508627795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kaaren Vargas, DDS, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.
-
- Pediatric Dentistry
- North Liberty, IA
- NPI 1063516060
-
- Dentist
- Marion, IA
- NPI 1417791914
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.