NPIMap

Organization Active NPI

Family Dentistry, LLP

  • General Practice Dentistry
  • Grinnell, IA
National Provider Identifier
1730217654
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY DENTISTRY, LLP
Practice address
825 Broad St
Grinnell, IA 50112-2153
Phone
(641) 236-6169
Fax
(641) 236-6041
NPI assigned
Mar 1, 2007
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Dr. Peter T Marsho, DDSNPI 1407386741
Title
Doctor/Partner
Phone
(641) 236-6169

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 Dentistry 1223G0001X IA Primary

Addresses

Primary practice location

825 Broad St
Grinnell, IA 50112-2153

Mailing address

825 Broad St
Grinnell, IA 50112-2153
Phone (641) 236-6169

Other names 1

  • Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

825 Broad St
Grinnell, IA 50112
Phone (641) 235-6169

Practitioners & affiliated clinicians

Practitioners 8

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1730217654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122153",
            "telephone_number": "641-236-6169",
            "fax_number": "641-236-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BROAD ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122153",
            "telephone_number": "641-236-6169",
            "fax_number": "641-236-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MARSHO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR/PARTNER",
        "authorized_official_telephone_number": "641-236-6169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.