NPIMap

Organization Active NPI

Deborah L. Krotz-Dieleman, P.C.

  • General Practice Dentistry
  • Washington, IA
National Provider Identifier
1962669341
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07384 Issued in IA
Legal business name
DEBORAH L. KROTZ-DIELEMAN, P.C.
Practice address
218 S Iowa Ave
Washington, IA 52353-1736
Phone
(319) 653-4298
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Deborah L Krotz-DielemanNPI 1033275144
Title
President
Phone
(319) 653-4298

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 07384 IA Primary

Addresses

Primary practice location

218 S Iowa Ave
Washington, IA 52353-1736

Mailing address

218 S Iowa Ave
Washington, IA 52353-1736

National Provider Directory

National Provider Directory

Locations

218 S Iowa Ave
Washington, IA 52353
Phone (319) 653-4298

Practitioners & affiliated clinicians

Practitioners 1

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1962669341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531736",
            "telephone_number": "319-653-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L. KROTZ-DIELEMAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "KROTZ-DIELEMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-653-4298"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.