NPIMap

Organization Active NPI

Kimball & Beecher Iowa City PLLC

  • Dental Clinic/Center
  • Iowa City, IA
National Provider Identifier
1609416817
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KIMBALL & BEECHER IOWA CITY PLLC
Practice address
1008 William St
Iowa City, IA 52240-6628
Phone
(319) 337-2114
Fax
(319) 232-3171
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Tracy Wood
Title
Executive Director
Phone
(319) 235-6287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1008 William St
Iowa City, IA 52240-6628

Mailing address

4015 Hurst Dr
Waterloo, IA 50701-9035
Phone (319) 235-6287

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1609416817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 HURST DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019035",
            "telephone_number": "319-235-6287",
            "fax_number": "319-232-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WILLIAM ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406628",
            "telephone_number": "319-337-2114",
            "fax_number": "319-232-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL & BEECHER IOWA CITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-235-6287"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.