Organization Active NPI

Ankeny Dental Clinic

  • General Practice Dentistry
  • Ankeny, IA
National Provider Identifier
1750105417
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANKENY DENTAL CLINIC
Practice address
110 N Ankeny Blvd Ste 600
Ankeny, IA 50023-1750
Phone
(515) 513-1127
Fax
(515) 513-1148
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Mr. Nam Nguyen
Title
Dental Hygienist
Phone
(515) 513-1127

Specialties & licenses 1

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

Addresses

Primary practice location

110 N Ankeny Blvd Ste 600
Ankeny, IA 50023-1750

Mailing address

110 N Ankeny Blvd Ste 600
Ankeny, IA 50023-1750
Phone (515) 513-1127

National Provider Directory

National Provider Directory

Locations

110 N Ankeny Blvd
Ste 600
Ankeny, IA 50023
Phone (319) 360-3020

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1750105417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N ANKENY BLVD STE 600",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231750",
            "telephone_number": "515-513-1127",
            "fax_number": "515-513-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ANKENY BLVD STE 600",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231750",
            "telephone_number": "515-513-1127",
            "fax_number": "515-513-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKENY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NAM",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "515-513-1127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Nov 11, 2024; 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.