Lifepoint Dental Partners V

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LIFEPOINT DENTAL PARTNERS V

Practice address

2335 Blairs Ferry Rd NE
Cedar Rapids, IA 52402-1918

Phone

(319) 362-0043

Fax

(319) 378-4108

NPI assigned

Sep 26, 2013

Last updated

Sep 26, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

LIFEPOINT DENTAL PARTNERS IAs reported in NPPES

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

Authorized official

Name

Leann Sou

Title

Director of Operations

Phone

(515) 224-1618

Specialties & licenses 1

Addresses

Part of

Lifepoint I Dental Group LLC

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1598192288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 EP TRUE PKWY",
            "address_2": "SUITE 301",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657000",
            "telephone_number": "515-224-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BLAIRS FERRY RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021918",
            "telephone_number": "319-362-0043",
            "fax_number": "319-378-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOINT DENTAL PARTNERS V",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEPOINT DENTAL PARTNERS I",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "SOU",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "515-224-1618"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Michael Libby, A.T.C.
• Jennifer Lickteig, MD
• Life Connection, L.C.
• Victoria A Life
• Lifeline Trust Care LLC
• Nicholas Lind, MD
• Suzanne Martha Lind, RPH
• Linda Collins PHD PC (Cedar Rapids Memory Clinic PC)
• Lindale Dental Care PC
• Donald J Linder, DO

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.