Videnta, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VIDENTA, LLC

Practice address

907 N Ankeny Blvd
Ankeny, IA 50023-4002

Phone

(515) 964-1490

NPI assigned

Aug 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Lucas Bland

Title

Coo

Phone

(515) 577-6367

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advanced Family Dentistry LLC

  • General Practice Dentistry
  • Ankeny, IA
  • NPI 1558133512
  NPPES parent name
• Hill Avenue Dental LLC

  • General Practice Dentistry
  • Spirit Lake, IA
  • NPI 1376303503
  NPPES parent name
• Iowa Dental Group LLC

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1265204234
  NPPES parent name

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1851175780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234002",
            "telephone_number": "515-964-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234002",
            "telephone_number": "515-964-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDENTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-577-6367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Seth Vargo, PHARMD.
• Vaxitaxicom, P.L.C.
• Deidra A Veach, ARNP
• Briana Vera, M.A., CCC-SLP
• Alyssa Vibbard, LISW
• Jenna T Vigneron, DDS
• Casey Villhauer, PHARMD, BCGP
• Marie Villhauer
• Emma F Villiard
• Linda M Vinchattle, MA, LMFT

• General Practice Dentistry in Ankeny, IA
• Providers in Ankeny, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.