NPIMap

Organization Active NPI

Rolling Hills Dental Clinic PC

  • Dental Clinic/Center
  • Fort Dodge, IA
National Provider Identifier
1790237204
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DDS-09354 Issued in IA
Legal business name
ROLLING HILLS DENTAL CLINIC PC
Practice address
2727 N 15TH St
Fort Dodge, IA 50501-7203
Phone
(515) 576-5786
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Dr. Nicholas Drzycimski, DDSNPI 1629110085
Title
Owner-Dentist
Phone
(515) 576-5786

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
Dental Clinic/Center 261QD0000X DDS-09354 IA Primary

Addresses

Primary practice location

2727 N 15TH St
Fort Dodge, IA 50501-7203

Mailing address

2727 N 15TH St
PO Box #1823
Fort Dodge, IA 50501-7203

National Provider Directory

National Provider Directory

Locations

2727 N 15th St
Fort Dodge, IA 50501
Phone (515) 576-5786

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": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1790237204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 N 15TH ST",
            "address_2": "PO BOX #1823",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N 15TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017203",
            "telephone_number": "515-576-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING HILLS DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "DRZYCIMSKI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "515-576-5786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "DDS-09354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.