Individual provider Active NPI

Jacob Duane Parsons, D.D.S.

  • General Practice Dentistry
  • Marshalltown, IA
National Provider Identifier
1881012169
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09365 Issued in IA
Practice address
101 Iowa Avenue W
Ste 102
Marshalltown, IA 50158-4768
Phone
(641) 753-4021
Fax
(515) 644-6792
NPI assigned
Apr 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D4116 NM
General Practice Dentistry 1223G0001X DDS-09365 IA Primary

Addresses

Primary practice location

101 Iowa Avenue W
Ste 102
Marshalltown, IA 50158-4768

Mailing address

1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447

Other practice location 1

1200 University Ave Ste 100
Des Moines, IA 50314-2355
Phone (515) 248-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140731001154 NM Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3577789353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D4116NMMDDentist
DDS-09365IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Care, Inc. Past Accepting new patients
Primary Health Care, Inc. Past Accepting new patients
Kidsfirst Dental Care LLC General Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1881012169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 IOWA AVENUE W",
            "address_2": "STE 102",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584768",
            "telephone_number": "641-753-4021",
            "fax_number": "515-644-6792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 University Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142355",
            "country_code": "US",
            "telephone_number": "515-248-1888",
            "fax_number": "515-248-1890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JACOB",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "D4116",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.