Lake Mills Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09120 Issued in IA

Legal business name

LAKE MILLS FAMILY DENTAL PC

Practice address

206 E Main St
Lake Mills, IA 50450-1442

Phone

(641) 592-2200

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Mehlhoff, D.D.S.

Title

President

Phone

(641) 592-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith A. Johnson, DDS

  • General Practice Dentistry
  • Lake Mills, IA
  • NPI 1689762635
  NPD (past)

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1669828653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501442",
            "telephone_number": "641-592-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MILLS FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "MEHLHOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-592-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Johnson, PT
• Keith A. Johnson, DDS
• Keith a. Johnson, DDS, PC
• Lake Mills Ambulance Service
• Lake Mills Community School
• Lake Mills Ia Skilled Nursing Facility, LLC
• Lake Mills Ia Skilled Nursing Facility, LLC
• Lake Mills Ia Skilled Nursing Facility, LLC
• Lake Mills Pharmacy Inc
• Lake Mills Physical Therapy LLC

• General Practice Dentistry in Lake Mills, IA
• Providers in Lake Mills, 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 May 9, 2016; 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.