Iowa Central Community College

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IOWA CENTRAL COMMUNITY COLLEGE

Practice address

330 Avenue M
Fort Dodge, IA 50501-5739

Phone

(515) 574-1327

Fax

(515) 576-5656

NPI assigned

Jul 20, 2007

Last updated

Jul 20, 2007By 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

Renee Piper

Title

Program Coordinator

Phone

(515) 574-1335

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1710187497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 AVENUE M",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015739",
            "telephone_number": "515-574-1327",
            "fax_number": "515-576-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 AVENUE M",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015739",
            "telephone_number": "515-574-1327",
            "fax_number": "515-576-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA CENTRAL COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "515-574-1335"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Hutchinson, ARNP
• Hy-Vee Inc (Hy-Vee Pharmacy (1192))
• David Ilceski, M.D.
• Taylor Illg
• Integrative Counseling Practices
• Iowa Central Industries
• Iowa Central Industries
• Iowa Central Industries
• Iowa Central Industries
• Iowa Central Industries

• Dental Clinic/Center in Fort Dodge, IA
• Providers in Fort Dodge, 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 Jul 20, 2007; 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.