Springbrook Family Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DDS-09588 Issued in IA

Legal business name

SPRINGBROOK FAMILY DENTISTRY, PC

Practice address

214 State St
Guthrie Center, IA 50115-1350

Phone

(641) 332-3100

NPI assigned

Aug 1, 2018

Last updated

Aug 1, 2018By 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

Daniel Aaron Nelson, DDSNPI 1588140719

Title

President

Phone

(515) 971-6324

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.

• Daniel Nelson, DDS

  • General Practice Dentistry
  • Guthrie Center, IA
  • NPI 1588140719
  NPD (past) Authorized official

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1700364874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151350",
            "telephone_number": "641-332-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBROOK FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-971-6324",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "DDS-09588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ronald Roske, D.O.
• Dennis Lee Runyan
• Ralph W Schramm, D.C.
• James Matthew Shultz, D.C.
• Cody Marie Silker-Wilhite, D.O.
• Allison H Stanley, OTR/L
• Roma Marie Stetzel, MSW
• Lesley R Stucker, PT
• Synergy Wellness & Physical Therapy LLC
• The Capstone Group Inc (The New Homestead)

• Dental Clinic/Center in Guthrie Center, IA
• Providers in Guthrie Center, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.