NPIMap

Organization Active NPI

Phillip T. Iero, M.D.,D.D.S., PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bismarck, ND
National Provider Identifier
1588697015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
PHILLIP T. IERO, M.D.,D.D.S., PC
Practice address
416 N 6TH St
Bismarck, ND 58501-4416
Phone
(701) 255-4000
Fax
(701) 255-1992
NPI assigned
Jul 8, 2006
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
Mrs. Charlene Ann Schmaltz
Title
Practice Manager
Phone
70125540000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

416 N 6TH St
Bismarck, ND 58501-4416

Mailing address

416 N 6TH St
Bismarck, ND 58501-4416
Phone (701) 255-4000

Other names 1

  • Institute of Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588697015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N 6TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014416",
            "telephone_number": "701-255-4000",
            "fax_number": "701-255-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N 6TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014416",
            "telephone_number": "701-255-4000",
            "fax_number": "701-255-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP T. IERO, M.D.,D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMALTZ",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "70125540000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute of Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

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.