NPIMap

Organization Active NPI

Iowa Dental Health Professionals, P.C.

Doing business as Panora Family Dentistry

  • General Practice Dentistry
  • Panora, IA
National Provider Identifier
1902158389
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Doing business as
Panora Family Dentistry
Practice address
611 E Main St
Panora, IA 50216-1097
Phone
(641) 755-3626
NPI assigned
Oct 9, 2012
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
IOWA DENTAL HEALTH PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Lindsay Bearden
Title
Insurance/Credentialing
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

611 E Main St
Panora, IA 50216-1097

Mailing address

611 E Main St
Panora, IA 50216-1097
Phone (641) 755-3626

Other names 1

  • Panora Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iowa Dental Professionals PC14 organizations share this tax ID, including this one
Part of
Iowa Dental Professionals PC

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1902158389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502161097",
            "telephone_number": "641-755-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MAIN ST",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502161097",
            "telephone_number": "641-755-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA DENTAL HEALTH PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA DENTAL HEALTH PROFESSIONALS, P.C.",
        "enumeration_date": "2012-10-09",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panora Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panora, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.