NPIMap

Organization Active NPI

Cedar Dental PC

  • Dental Clinic/Center
  • Saint Ansgar, IA
National Provider Identifier
1972760882
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
05940 Issued in IA
Legal business name
CEDAR DENTAL PC
Practice address
312 W 4TH St
St. Ansgar, IA 50472-0069
Phone
(641) 736-4302
Fax
(641) 736-2111
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. John Dayton Lafferty, DDSNPI 1740354463
Title
Dentist
Phone
(641) 736-4302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 05940 IA Primary

Addresses

Primary practice location

312 W 4TH St
St. Ansgar, IA 50472-0069

Mailing address

312 W 4TH St
PO Box 69
St. Ansgar, IA 50472-0069

National Provider Directory

National Provider Directory

Locations

312 W 4th St
Saint Ansgar, IA 50472
Phone (641) 736-4302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1972760882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 4TH ST",
            "address_2": "PO BOX 69",
            "city": "ST. ANSGAR",
            "state": "IA",
            "postal_code": "504720069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 4TH ST",
            "city": "ST. ANSGAR",
            "state": "IA",
            "postal_code": "504720069",
            "telephone_number": "641-736-4302",
            "fax_number": "641-736-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "LAFFERTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAYTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "641-736-4302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "05940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ansgar, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.