Family Orthodontics of Iowa, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FAMILY ORTHODONTICS OF IOWA, PLLC

Practice address

4949 Westown Pkwy Ste 150
West Des Moines, IA 50266-6716

Phone

(515) 225-0066

NPI assigned

Mar 4, 2019

Last updated

Mar 4, 2019By 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

Tamonia Leonard

Title

Credentialing Specialist

Phone

(678) 244-4844

Specialties & licenses 1

Addresses

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.

• Matthew Perry Kubovich, D.D.S.

  • Pediatric Dentistry
  • West Des Moines, IA
  • NPI 1578532446
  NPD (past)
• Diana Pelzer, DDS

  • Pediatric Dentistry
  • Waukee, IA
  • NPI 1760801062
  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1699233163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SPRING ST NW STE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092870",
            "telephone_number": "770-692-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 WESTOWN PKWY STE 150",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666716",
            "telephone_number": "515-225-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHODONTICS OF IOWA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "TAMONIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-244-4844"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott P Fackrell, DO
• Mouada Abdellatif Abdelaal Fadul, DMD
• Jonathan Andrew Fahler, DO
• Faith and Freedom Therapy LLC
• Family Directions of Iowa
• Fawad S. Zafar MD PC (Lakeview Center for Urology)
• Tara J Federly, M.D.
• Suzanne Feigofsky, M.D.
• Jennifer L Fejfar, DO
• Scott Duane Feldhacker

• Dentist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.