NPIMap

Organization Active NPI

Center Point Family Dentistry PLLC

  • General Practice Dentistry
  • Center Point, IA
National Provider Identifier
1902209976
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CENTER POINT FAMILY DENTISTRY PLLC
Practice address
907 Bank Court
Center Point, IA 52213-9337
Phone
(319) 849-1171
Fax
(319) 849-2453
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Dr. Terra Kathleen Hickey, DDSNPI 1285714758
Title
Owner/Partner
Phone
(319) 849-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

907 Bank Court
Center Point, IA 52213-9337

Mailing address

907 Bank Court
Center Point, IA 52213-9337
Phone (319) 849-1171

National Provider Directory

National Provider Directory

Locations

907 Bank Ct
Center Point, IA 52213
Phone (319) 849-1171

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1902209976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BANK COURT",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522139337",
            "telephone_number": "319-849-1171",
            "fax_number": "319-849-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BANK COURT",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522139337",
            "telephone_number": "319-849-1171",
            "fax_number": "319-849-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER POINT FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "TERRA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "319-849-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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 Center Point, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.