NPIMap

Organization Active NPI

Lawhead Family Dentistry

  • General Practice Dentistry
  • Muscatine, IA
National Provider Identifier
1770040818
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAWHEAD FAMILY DENTISTRY
Practice address
315 Sycamore St
Muscatine, IA 52761-3824
Phone
(563) 263-8034
Fax
(563) 288-1653
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Jessica S Odegard
Title
Office Support
Phone
(563) 263-8034

Specialties & licenses 1

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

Addresses

Primary practice location

315 Sycamore St
Muscatine, IA 52761-3824

Mailing address

315 Sycamore St
Muscatine, IA 52761-3824
Phone (563) 263-8034

National Provider Directory

National Provider Directory

Locations

315 Sycamore St
Muscatine, IA 52761
Phone (563) 263-8034

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1770040818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SYCAMORE ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613824",
            "telephone_number": "563-263-8034",
            "fax_number": "563-288-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SYCAMORE ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613824",
            "telephone_number": "563-263-8034",
            "fax_number": "563-288-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWHEAD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "ODEGARD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE SUPPORT",
        "authorized_official_telephone_number": "563-263-8034"
    },
    "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 Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.