NPIMap

Organization Active NPI

Indianola Family Dentistry PLC

  • General Practice Dentistry
  • Indianola, IA
National Provider Identifier
1770735565
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08581 Issued in IA
Legal business name
INDIANOLA FAMILY DENTISTRY PLC
Practice address
212 N Buxton St
Indianola, IA 50125-2431
Phone
(515) 961-0534
Fax
(515) 961-0536
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Dr. Michael Theodore Lindeberg, D.D.S.NPI 1225129455
Title
Owner
Phone
(515) 961-0534

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 08581 IA Primary

Addresses

Primary practice location

212 N Buxton St
Indianola, IA 50125-2431

Mailing address

212 N Buxton St
Indianola, IA 50125-2431
Phone (515) 961-0534

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1770735565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252431",
            "telephone_number": "515-961-0534",
            "fax_number": "515-961-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252431",
            "telephone_number": "515-961-0534",
            "fax_number": "515-961-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANOLA FAMILY DENTISTRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "LINDEBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-961-0534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.