Daniel T Pelc, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6199 Issued in IA

Legal business name

DANIEL T PELC, D.D.S., P.C.

Practice address

305 1St Ave SE
Oelwein, IA 50662-2508

Phone

(319) 283-2540

Fax

(319) 283-5439

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel T Pelc I, D.D.S.NPI 1609033240

Title

President

Phone

(319) 283-2540

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Daniel T Pelc, DDS

  • Dentist
  • Oelwein, IA
  • NPI 1609033240
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629145867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 1ST AVE SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622508",
            "telephone_number": "319-283-2540",
            "fax_number": "319-283-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 1ST AVE SE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622508",
            "telephone_number": "319-283-2540",
            "fax_number": "319-283-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T PELC, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELC",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-283-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137448",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica L Bushaw, PHARMD
• Brianne Connie Byerly
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• Perry J Comeau, CRNA
• Taylor Lynne Coyle, PT, DPT
• Andrew Davis, DPT
• Gayla Marie Davis, MSN, ARNP, FNP-BC
• Giovanni Demezier
• DJ Trade LLC
• Dr Mark M Zimmer PC (Oelwein Family Eyecare)

• General Practice Dentistry in Oelwein, IA
• Providers in Oelwein, 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 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.