Zachary Percival, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS-09509 Issued in IA

Practice address

125 24TH St SE
Altoona, IA 50009-2167

Phone

(515) 967-9790

NPI assigned

May 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wolfe Family Dentistry Inc.

  • Pediatric Dentistry
  • Altoona, IA
  • NPI 1710505011
  NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1679929202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 24TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092167",
            "telephone_number": "515-967-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 24TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500092167",
            "telephone_number": "515-967-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCIVAL",
        "first_name": "ZACHARY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-09509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "125 24th St SE",
            "city": "Altoona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500092167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Parker, MSN, ARNP, FNP-C
• Jennifer E Parrish, OTR/L
• Passion Care LLC
• Morgan Nichole Pavon, RD, LD
• Amber Paylor
• Kevin Scott Petersen, PT/DPT
• Adriana Pettepier
• Arbor Pfannebecker
• Brooke Mariah Pflum
• Pharmacy Services, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.