Anna Nicole Price, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS-09991 Issued in IA

Practice address

501 12TH Ave Ste 202
Coralville, IA 52241-1774

Phone

(319) 351-5439

NPI assigned

Apr 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Nicole Faulkner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Iowa Periodontics, PC

  • Periodontics
  • Coralville, IA
  • NPI 1083947667
  NPD (past)
• Iowa Pediatric Dental Center

  • Pediatric Dentistry
  • Coralville, IA
  • NPI 1639595952
  NPD (past)
• State University of Iowa

  • Clinical Medical Laboratory
  • Coralville, IA
  • NPI 1851371561
  NPD (past)

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1639811169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 12TH AVE STE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411774",
            "telephone_number": "319-351-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 12TH AVE STE 202",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411774",
            "telephone_number": "319-351-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ANNA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-09991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "FAULKNER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonah Potts
• Heidi Deann Powers, ARNP
• Premtherapy LLC
• Prevention Systems, Inc. (The Hauser Clinic)
• Alison Cary Price, LMHC
• Jacob Bird Priest, PHD, LMFT
• Sarah Patricia Aanes Prochaska, LMSW
• Prosthodontic Associates, Inc.
• Proud Peaceful Nutrition, LLC
• Payton C. Proud

• Pediatric Dentistry in Coralville, IA
• Providers in Coralville, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.