JC Dentistry Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8048 Issued in IA

Legal business name

JC DENTISTRY INC

Doing business as

Johnston Family Dentistry

Practice address

6108 NW 59TH CT
Johnston, IA 50131-1580

Phone

(515) 270-9679

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By 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

Dr. Chad A King, D.D.S.

Title

President

Phone

(515) 270-9679

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Johnston Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1932386398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 NW 59TH CT",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311580",
            "telephone_number": "515-270-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 NW 59TH CT",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311580",
            "telephone_number": "515-270-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-270-9679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1033241575",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689743502",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Jansa, OTR/L
• Jasob Supported Living, LLC
• Elizabeth Louise Jauron, MD
• Jay D Petersma OD PC
• Dumindu Jayasekera
• Elisabeth A Jeffords, PA-C
• Rachel Jensen, OTD
• Betsy R Jepsen, T-LMFT
• Ashley Elizabeth Jobe
• Elena Johanek, RBT

• General Practice Dentistry in Johnston, IA
• Providers in Johnston, 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 Jan 29, 2008; 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.