Organization Active NPI

North Liberty Family Health Centre, P.C.

  • Family Medicine Physician
  • North Liberty, IA
National Provider Identifier
1780736256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH LIBERTY FAMILY HEALTH CENTRE, P.C.
Practice address
585 W Cherry St
North Liberty, IA 52317-9797
Phone
(319) 626-6006
Fax
(319) 626-3400
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Denise Kaestner, RN
Title
Office Manager
Phone
(319) 626-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

585 W Cherry St
North Liberty, IA 52317-9797

Mailing address

PO Box 260
North Liberty, IA 52317-0260
Phone (319) 626-6006

National Provider Directory

National Provider Directory

Locations

420 Community Dr
Ste 1
North Liberty, IA 52317
Phone (319) 626-6006

585 W Cherry St
North Liberty, IA 52317
Phone (319) 626-6006

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780736256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523170260",
            "telephone_number": "319-626-6006",
            "fax_number": "319-626-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W CHERRY ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179797",
            "telephone_number": "319-626-6006",
            "fax_number": "319-626-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LIBERTY FAMILY HEALTH CENTRE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAESTNER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-626-6006",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.