LIFEPOINT IV DENTAL GROUP LLC (NPI# 1154701316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154701316 |
| Entity Type | Organization |
| Organization Name | LIFEPOINT IV DENTAL GROUP LLC |
| Other Organization Name | LIFEPOINT DENTAL PARTNERS IV LLC |
| Practice Address |
110 Se Grant St Suite 101 Ankeny IA 50021-3151 |
| Mailing Address |
3311 Sw 9th St Suite 200 Des Moines IA 50315-7677 |
| Practice Telephone | 5159651800 |
| Practice Fax Number | 8882780530 |
| Mailing Telephone | 5152437641 |
| Mailing Fax Number | 8882780530 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | AARON M BLASS (PRESIDENT) |
| Authorized Official Telephone | 5159651800 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFEPOINT DENTAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
08472 | IA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Lifepoint Dental Partners IV LLC | Doing Business As Name - Organization |
| Street Address |
110 SE GRANT ST SUITE 101 |
| City | ANKENY |
| State | IA |
| Zip Code | 50021-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275998676 | Shine Thirty-two Inc. | Dentist | 110 Se Grant St, Suite 101, Ankeny, IA 50021-3151 | 2015-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856298 | Amy Jo Coenen | Physical Therapy Assistant | 710 East 1st Street, Ankeny, IA 50021 | 2019-02-08 |
| 1073006847 | Kylie Linn Shear | Behavior Technician | 1555 Se Deleware, Ankeny, IA 50021 | 2018-06-07 |
| 1174013445 | Maxwell Sando | Psychologist | 250 Ne 41st Unit 260, Ankeny, IA 50021 | 2018-05-12 |
| 1235638537 | Bria Lynn Colyer | Massage Therapist | 104 Ne 46th Lane Number 9, Ankeny, IA 50021 | 2018-02-02 |
| 1134485998 | Leslie R. Fenimore | Nurse Practitioner | 800 1st Avenue, Mercy North Clinic, Ankeny, IA 50021 | 2012-04-05 |
| 1063713667 | Lori Eisbrener | Counselor | 2525 N Ankeny Blvd, Ste 113, Ankeny, IA 50021 | 2010-11-12 |
| 1679899355 | Rcf Youth Project | Community/Behavioral Health | 738 Ne 8th Street, Ankeny, IA 50021 | 2010-04-20 |
| 1437320595 | Iowa Sleep Disorders Center, P.C. | Clinic/Center | 400 Se Delaware Ave, Ankeny, IA 50021 | 2008-03-17 |
| 1558553891 | Center for Interpersonal Effectiveness, PC | Community/Behavioral Health | 2525 N. Ankeny Blvd., Ste 113, Ankeny, IA 50021 | 2007-08-10 |
| 1295850196 | Stacy Burns Young | Speech-Language Pathologist | 301 Ne Trilein, Suite 4, Ankeny, IA 50021 | 2007-03-20 |
| Find all providers in zip 50021 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199574 | Flora Yu Harn Yen | Dentist | 3602 Ne Otterview Cir, Ankeny, IA 50021-7773 | 2020-06-17 |
| 1073033544 | Marissa Gregg | Dentist | 121 Ne 18th St, Ankeny, IA 50021-4697 | 2017-06-26 |
| 1376913780 | Iowa Dental Health Professionals, PC | Dentist | 2005 Se Delaware Ave, Suite 1, Ankeny, IA 50021-4302 | 2015-09-28 |
| 1013215243 | Lifepoint II Dental Group | Dentist | 2785 N Ankeny Blvd Ste 26, Ankeny, IA 50023-4705 | 2011-03-12 |
| 1497058739 | Ankeny Family Dental Center | Dentist | 2302 W 1st Street, Ankeny, IA 50023-5106 | 2010-12-08 |
| 1477786903 | Central Iowa Dental Arts, LLC | Dentist | 1210 Nw 18th St, Suite 140, Ankeny, IA 50023 | 2009-09-01 |
| 1336322023 | Erika Ellen Peddicord | Dentist | 3720 N Ankeny Blvd Ste 200, Ankeny, IA 50023-4605 | 2007-12-17 |
| 1689701740 | Amanda Nicole Stewart | Dentist | 907 N Ankeny Blvd, Ankeny, IA 50023-4002 | 2007-02-27 |
| 1801934633 | James W Collins Dds PC | Dentist | 114 Sw State Street, Ankeny, IA 50023-2541 | 2007-02-02 |
| 1073666350 | Amanda Jill Foust | Dentist | 205 Se Oralabor Rd, Suite E, Ankeny, IA 50021-9104 | 2007-01-19 |
| Find all providers in ANKENY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.