Peloton Dental Services LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PELOTON DENTAL SERVICES LLC

Practice address

1630 SW White Birch Cir
Ankeny, IA 50023-7213

Phone

(515) 965-4470

NPI assigned

Oct 4, 2018

Last updated

Oct 4, 2018By 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. Kelly Huston, DDSNPI 1003171497

Title

Owner

Phone

(319) 610-3505

Specialties & licenses 1

Addresses

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.

• Kelly Michael Huston, D.D.S.

  • General Practice Dentistry
  • Ottumwa, IA
  • NPI 1003171497
  NPD Authorized official

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1629543707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 NW 33RD ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237831",
            "telephone_number": "319-610-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SW WHITE BIRCH CIR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237213",
            "telephone_number": "515-965-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELOTON DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "HUSTON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-610-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Educational Center (Emergent Learning Clinic)
• Bethany Pearson
• Sarah Peck
• Erika Ellen Peddicord, D.D.S
• Jonathan Pederson, ATC
• Olivia Penland
• Donna Perez
• Chloe Perkins
• Isabella Katelyn Perksen, LMSW
• Sarah A Peterman, OTRL

• General Practice Dentistry in Ankeny, IA
• Providers in Ankeny, 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 Oct 4, 2018; 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.