Organization Active NPI

Eldora Family Dentistry, LLC

  • Dental Clinic/Center
  • Eldora, IA
National Provider Identifier
1699294181
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DDS09191 Issued in IA
Legal business name
ELDORA FAMILY DENTISTRY, LLC
Practice address
1310 Washington St
Eldora, IA 50627-1631
Phone
(641) 939-3214
NPI assigned
Sep 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Dan Scarrow, DDS
Title
Owner
Phone
(641) 425-6042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DDS09191 IA Primary

Addresses

Primary practice location

1310 Washington St
Eldora, IA 50627-1631

Mailing address

1310 Washington St
Eldora, IA 50627-1631
Phone (641) 939-3214

National Provider Directory

National Provider Directory

Locations

1310 Washington St
Eldora, IA 50627
Phone (614) 939-3214

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699294181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WASHINGTON ST",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271631",
            "telephone_number": "641-939-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WASHINGTON ST",
            "city": "ELDORA",
            "state": "IA",
            "postal_code": "506271631",
            "telephone_number": "641-939-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORA FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCARROW",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-425-6042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "DDS09191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldora, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.