Organization Active NPI

Lifepoint III Dental Group

  • General Practice Dentistry
  • Marshalltown, IA
National Provider Identifier
1922306158
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFEPOINT III DENTAL GROUP
Practice address
206 E State St
Marshalltown, IA 50158-1714
Phone
(641) 752-3722
NPI assigned
Mar 12, 2011
Organization subpart
Yes
Parent organization
LIFEPOINT DENTAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Angelina Blass, DDS
Title
Member
Phone
(515) 965-5999

Specialties & licenses 1

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

Addresses

Primary practice location

206 E State St
Marshalltown, IA 50158-1714

Mailing address

2785 N Ankeny Blvd Ste 26
Ankeny, IA 50023-4705
Phone (515) 965-5999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1922306158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 N ANKENY BLVD STE 26",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234705",
            "telephone_number": "515-965-5999",
            "fax_number": "515-965-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E STATE ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581714",
            "telephone_number": "641-752-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOINT III DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEPOINT DENTAL GROUP, LLC",
        "enumeration_date": "2011-03-12",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "BLASS",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "515-965-5999",
        "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 Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.