Active NPI
LZP Dental Enterprises, LLC
- Dental Clinic/Center
- Pocahontas, IA
National Provider Identifier
1780352294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LZP DENTAL ENTERPRISES, LLC
- Practice address
- 608 NW 7TH St
Pocahontas, IA 50574-1000 - Phone
- (712) 335-3521
- NPI assigned
- Aug 31, 2021
- Last updated
- Aug 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Carlson
- Title
- Regional Office Manager
- Phone
- (515) 573-7601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
608 NW 7TH St
Pocahontas, IA 50574-1000
Mailing address
608 NW 7TH St
Pocahontas, IA 50574-1000
Phone (712) 335-3521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223G0001X | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630368000000",
"number": "1780352294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NW 7TH ST",
"city": "POCAHONTAS",
"state": "IA",
"postal_code": "505741000",
"telephone_number": "712-335-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NW 7TH ST",
"city": "POCAHONTAS",
"state": "IA",
"postal_code": "505741000",
"telephone_number": "712-335-3521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LZP DENTAL ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "REGIONAL OFFICE MANAGER",
"authorized_official_telephone_number": "515-573-7601"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1223G0001X",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocahontas, IA
- Kristy Kay Hughett
- Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine Pocahontas)
- J Rittgers, Inc. (Rittgers Spine and Wellness)
- JP Manor LLC (Pocahontas Manor)
- Caralynn Jean Lowe
- Kylie Maurer, PA-C
- Eugene Mullins, MD
- North Central Iowa Mental Health Center, Inc (Berryhill Center for Mental Health)
- Emil J Pecholt, DO
- Mark Kevin Peebles, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.