Organization Active NPI

Demarco Dental Practice,P.C.

  • Dentist
  • Windsor Heights, IA
National Provider Identifier
1851643019
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEMARCO DENTAL PRACTICE,P.C.
Practice address
974 73Rd St
Suite 37
Windsor Heights, IA 50324-1024
Phone
(515) 282-0973
Fax
(515) 288-5552
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mrs. Michelle Lynn Dodds
Title
Office Manager
Phone
(515) 282-0973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

974 73Rd St
Suite 37
Windsor Heights, IA 50324-1024

Mailing address

974 73Rd St
Suite 37
Windsor Heights, IA 50324-1024
Phone (515) 282-0973

National Provider Directory

National Provider Directory
Tax ID family
Demarco Dental Practicepc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1851643019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "address_2": "SUITE 37",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241024",
            "telephone_number": "515-282-0973",
            "fax_number": "515-288-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "address_2": "SUITE 37",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241024",
            "telephone_number": "515-282-0973",
            "fax_number": "515-288-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMARCO DENTAL PRACTICE,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-282-0973",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.