Debra K. Oldham DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEBRA K. OLDHAM DDS PC

Doing business as

Anamosa Dental Assoc. PC

Practice address

702 W Main St
Anamosa, IA 52205-1636

Phone

(319) 462-2531

Fax

(319) 462-2914

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David F. Oldham

Title

Office Manager

Phone

(319) 462-2531

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anamosa Dental Assoc. PC Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra K. Oldham, DDS

  • General Practice Dentistry
  • Anamosa, IA
  • NPI 1700874617
  Medicare reassignment NPD
• Abram S. Anderson, DDS

  • General Practice Dentistry
  • Anamosa, IA
  • NPI 1992836449
  NPD (past)
• Joslyn Slater, D.D.S.

  • Dentist
  • Anamosa, IA
  • NPI 1679736474
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891826335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W MAIN ST",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522051636",
            "telephone_number": "319-462-2531",
            "fax_number": "319-462-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W MAIN ST",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522051636",
            "telephone_number": "319-462-2531",
            "fax_number": "319-462-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA K. OLDHAM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-462-2531"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "42053",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anamosa Dental Assoc. PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny A Butler, MD
• Michelle Suzanne Carris, RPH
• Carl Victor Chalstrom, RPH
• Cynthia Lea Clough, NCC LMHC
• Brenda Deal, MS, TLMHC
• Misti Deutschle, PMH
• Thomas J Devaney, PHARMACIST
• Marc N Duncan, DC
• Jessica Renee Dvorak
• Empower U Living LLC

• General Practice Dentistry in Anamosa, IA
• Providers in Anamosa, 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, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.