NPIMap

Organization Active NPI

Family First Dental of Primghar PC

Doing business as Primghar Dental Clinic

  • Dentist
  • Primghar, IA
National Provider Identifier
1649387333
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
06326 Issued in IA
Legal business name
FAMILY FIRST DENTAL OF PRIMGHAR PC
Doing business as
Primghar Dental Clinic
Practice address
135 1St Street NW
Box 278
Primghar, IA 51245
Phone
(712) 957-2460
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jean E Irwin, DDSNPI 1396814810
Title
Dentist
Phone
(712) 957-2460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 06326 IA Primary

Addresses

Primary practice location

135 1St Street NW
Box 278
Primghar, IA 51245

Mailing address

Box 278
135 1St Street NW
Primghar, IA 51245
Phone (712) 957-2460

Other identifiers 1

IdentifierTypeStateIssuer
1152553MedicaidIA

Other names 1

  • Primghar Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family 1St Dental of Akron8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649387333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 278",
            "address_2": "135 1ST STREET NW",
            "city": "PRIMGHAR",
            "state": "IA",
            "postal_code": "51245",
            "telephone_number": "712-957-2460",
            "fax_number": "712-957-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 1ST STREET NW",
            "address_2": "BOX 278",
            "city": "PRIMGHAR",
            "state": "IA",
            "postal_code": "51245",
            "telephone_number": "712-957-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST DENTAL OF PRIMGHAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "712-957-2460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "06326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1152553",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primghar Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Primghar, IA

Sources for this page

  • 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.