Organization Active NPI

Summit Family Dental

  • General Practice Dentistry
  • Perry, IA
National Provider Identifier
1891593372
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUMMIT FAMILY DENTAL
Practice address
2605 Iowa St
Perry, IA 50220-2413
Phone
(515) 460-0733
Fax
(515) 598-7910
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Mrs. Kyla Cairns
Title
Office Manager
Phone
(515) 446-0733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2605 Iowa St
Perry, IA 50220-2413

Mailing address

2605 Iowa St
Perry, IA 50220-2413
Phone (515) 460-0733

National Provider Directory

National Provider Directory

Locations

2605 Iowa St
Perry, IA 50220
Phone (515) 465-2633

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1891593372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 IOWA ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202413",
            "telephone_number": "515-460-0733",
            "fax_number": "515-598-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 IOWA ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202413",
            "telephone_number": "515-460-0733",
            "fax_number": "515-598-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "CAIRNS",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-446-0733",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.