Organization Active NPI

Arctic Dental, PLC

Doing business as Arctic Dental

  • Dental Clinic/Center
  • Muscatine, IA
National Provider Identifier
1750773172
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DDS-09044 Issued in IA
Legal business name
ARCTIC DENTAL, PLC
Doing business as
Arctic Dental
Practice address
2023 Cedar Plaza Dr
Muscatine, IA 52761-2283
Phone
(563) 607-5979
NPI assigned
Feb 22, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Dr. Jarod William Johnson, DDSNPI 1659710218
Title
General Manager
Phone
(563) 607-5979

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
Dental Clinic/Center 261QD0000X DDS-09044 IA Primary

Addresses

Primary practice location

2023 Cedar Plaza Dr
Muscatine, IA 52761-2283

Mailing address

2023 Cedar Plaza Dr
Muscatine, IA 52761-2283
Phone (563) 607-5979

Other names 1

  • Arctic Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1750773172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 CEDAR PLAZA DR",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612283",
            "telephone_number": "563-607-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 CEDAR PLAZA DR",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612283",
            "telephone_number": "563-607-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-22",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAROD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "563-607-5979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "DDS-09044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arctic Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.