Organization Active NPI

LZP Dental Enterprises, LLC

  • Dental Clinic/Center
  • Pocahontas, IA
National Provider Identifier
1780352294
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1223G0001XMedicaidIA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.