Waverly Family Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

7775 Issued in IA

Legal business name

WAVERLY FAMILY DENTISTRY LLC

Practice address

1404 3Rd St SW
Waverly, IA 50677-4300

Phone

(319) 352-6600

Fax

(319) 352-6605

NPI assigned

May 21, 2008

Last updated

May 21, 2008By 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

Alan Paul Young, DDXNPI 1528083839

Title

Doctor

Phone

(319) 352-6600

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, and the practitioner matching its NPPES authorized official.

• Alan P Young, DDS

  • General Practice Dentistry
  • Waverly, IA
  • NPI 1528083839
  NPD (past) Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1679730154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 3RD ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506774300",
            "telephone_number": "319-352-6600",
            "fax_number": "319-352-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 3RD ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506774300",
            "telephone_number": "319-352-6600",
            "fax_number": "319-352-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "319-352-6600",
        "authorized_official_credential": "DDX"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "7775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Leigh Walsten, DPT, ATC
• Walsworth Family Dentistry, P.C.
• Joel M Walsworth, DDS
• Waverly Chiropractic Specialties
• Waverly Chiropractic, PLC
• Waverly Health Center (Waverly Health Center Anesthesia)
• Waverly Health Center
• Waverly Health Center
• Waverly Health Center (Women's Clinic)
• Waverly Health Center (Walk-In Clinic)

• Dentist in Waverly, IA
• Providers in Waverly, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.