NPIMap

Organization Active NPI

Ankeny Dental Associates, PLC

  • General Practice Dentistry
  • Ankeny, IA
National Provider Identifier
1720128465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6113 Issued in IA
Legal business name
ANKENY DENTAL ASSOCIATES, PLC
Practice address
401 NW 18TH St
Ankeny, IA 50023-4260
Phone
(515) 964-0081
Fax
(515) 964-2902
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard D Lund, DDSNPI 1760520019
Title
Owner
Phone
(515) 964-0081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6113 IA Primary

Addresses

Primary practice location

401 NW 18TH St
Ankeny, IA 50023-4260

Mailing address

401 NW 18TH St
Ankeny, IA 50023-4260
Phone (515) 964-0081

National Provider Directory

National Provider Directory

Locations

401 NW 18th St
Ankeny, IA 50023
Phone (515) 964-0081

Practitioners & affiliated clinicians

Practitioners 4

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720128465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NW 18TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234260",
            "telephone_number": "515-964-0081",
            "fax_number": "515-964-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NW 18TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234260",
            "telephone_number": "515-964-0081",
            "fax_number": "515-964-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKENY DENTAL ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-964-0081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.