NPIMap

Organization Active NPI

Iowa Dental Clinic, PC

  • Dentist
  • Des Moines, IA
National Provider Identifier
1861716599
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08616 Issued in IA
Legal business name
IOWA DENTAL CLINIC, PC
Practice address
5601 Hickman Rd
Suite-5
Des Moines, IA 50310-1163
Phone
(515) 314-9169
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Dr. Fariha Baig, DDS
Title
President
Phone
(515) 314-9169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 08616 IA Primary

Addresses

Primary practice location

5601 Hickman Rd
Suite-5
Des Moines, IA 50310-1163

Mailing address

PO Box 22112
Clive, IA 50325-9402
Phone (515) 314-9169

National Provider Directory

National Provider Directory

Locations

5601 Hickman Rd
Ste 5
Des Moines, IA 50310
Phone (515) 314-9169

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1861716599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22112",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503259402",
            "telephone_number": "515-314-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 HICKMAN RD",
            "address_2": "SUITE-5",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101163",
            "telephone_number": "515-314-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA DENTAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "FARIHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-314-9169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "08616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.