NPIMap

Organization Active NPI

Reinbeck Family Dental

Doing business as Douglas H Koele DDS

  • Dentist
  • Reinbeck, IA
National Provider Identifier
1649430232
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
06330 Issued in IA
Legal business name
REINBECK FAMILY DENTAL
Doing business as
Douglas H Koele DDS
Practice address
501 Main St
Ste 2
Reinbeck, IA 50669
Phone
(319) 345-6667
Fax
(319) 345-2449
NPI assigned
Jun 17, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Douglas H Koele, DDSNPI 1700896859
Title
Owner
Phone
(319) 345-6667

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 06330 IA Primary

Addresses

Primary practice location

501 Main St
Ste 2
Reinbeck, IA 50669

Mailing address

501 Main St
Ste 2
Reinbeck, IA 50669
Phone (319) 345-6667

Other identifiers 1

IdentifierTypeStateIssuer
2150771MedicaidIA

Other names 1

  • Douglas H Koele DDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1649430232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "address_2": "STE 2",
            "city": "REINBECK",
            "state": "IA",
            "postal_code": "50669",
            "telephone_number": "319-345-6667",
            "fax_number": "319-345-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "address_2": "STE 2",
            "city": "REINBECK",
            "state": "IA",
            "postal_code": "50669",
            "telephone_number": "319-345-6667",
            "fax_number": "319-345-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINBECK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KOELE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-345-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "06330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150771",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas H Koele DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reinbeck, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.