NPIMap

Organization Active NPI

C.G.Egeland,D.D.S.

  • Dental Clinic/Center
  • Ames, IA
National Provider Identifier
1831366061
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5494 Issued in IA
Legal business name
C.G.EGELAND,D.D.S.
Practice address
1015 Duff Ave
Medical Arts BLDG.
Ames, IA 50010-5733
Phone
(515) 232-4236
Fax
(515) 232-4267
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Charles G Egeland, D.D.SNPI 1316055635
Title
Owner
Phone
(515) 232-4236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5494 IA Primary

Addresses

Primary practice location

1015 Duff Ave
Medical Arts BLDG.
Ames, IA 50010-5733

Mailing address

1015 Duff Ave
Medical Arts BLDG.
Ames, IA 50010-5733
Phone (515) 232-4236

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1831366061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 DUFF AVE",
            "address_2": "MEDICAL ARTS BLDG.",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105733",
            "telephone_number": "515-232-4236",
            "fax_number": "515-232-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DUFF AVE",
            "address_2": "MEDICAL ARTS BLDG.",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105733",
            "telephone_number": "515-232-4236",
            "fax_number": "515-232-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.G.EGELAND,D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "EGELAND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-232-4236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "5494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.