Active NPI
Austin Tysklind
- General Practice Dentistry
- Grimes, IA
National Provider Identifier
1952830820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS-09429
- Practice address
- 1541 SE 3Rd St Ste 300
Grimes, IA 50111-8878 - Phone
- (515) 986-4001
- NPI assigned
- Jun 5, 2017
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS-09429 | IA | Primary |
Addresses
Primary practice location
1541 SE 3Rd St Ste 300
Grimes, IA 50111-8878
Mailing address
356 NE Olivewood
Waukee, IA 50263-9528
Phone (515) 783-6074
Other practice location 1
227 S State St
Madrid, IA 50156-1319
Phone (515) 795-8227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09429 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odden Dental Group, P.C. | General Practice | Past | Accepting new patients |
| Grove and Platt Dental Associates PLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Grimes, IA
- NPI 1326011578
-
- General Practice Dentistry
- Madrid, IA
- NPI 1003765397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1952830820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 NE OLIVEWOOD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502639528",
"telephone_number": "515-783-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 SE 3RD ST STE 300",
"city": "GRIMES",
"state": "IA",
"postal_code": "501118878",
"telephone_number": "515-986-4001"
}
],
"practiceLocations": [
{
"address_1": "227 S State St",
"address_purpose": "LOCATION",
"city": "Madrid",
"state": "IA",
"postal_code": "501561319",
"country_code": "US",
"telephone_number": "515-795-8227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYSKLIND",
"first_name": "AUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "DDS-09429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grimes, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.