SUMMIT FAMILY DENTAL, P.C. (NPI# 1154779676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154779676 |
| Entity Type | Organization |
| Organization Name | SUMMIT FAMILY DENTAL, P.C. |
| Practice Address |
1705 N Ankeny Blvd Ankeny IA 50023-4102 |
| Practice Telephone | 5152053398 |
| Mailing Telephone | 5152053398 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | DR. NATHAN LEINEN (SECRETARY/TREASURER) |
| Authorized Official Telephone | 5154460733 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 8918 | IA | Dental Providers |
| Y | 122300000X | Dentist | 8260 | IA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SUMMIT FAMILY DENTAL, P.C. | 1705 N Ankeny Blvd, Ankeny, IA 50023 |
| Street Address |
1705 N ANKENY BLVD |
| City | ANKENY |
| State | IA |
| Zip Code | 50023-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447312582 | Anne Marie Deaton | Physical Therapist | 1705 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4168 | 2006-12-14 |
| 1952533036 | Rock Valley Physical Therapy Center | Occupational Therapist | 1705 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4168 | 2009-08-21 |
| 1578689741 | Thomas R Rodemyer | Physical Therapist | 1705 N Ankeny Blvd, Ste A, Ankeny, IA 50023-4168 | 2007-03-21 |
| 1942345103 | Nathan Allen Leinen | Dentist | 1705 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4102 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
| 1023663994 | Janet Lynn Rieckhoff | Counselor | 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 | 2019-08-07 |
| 1790344158 | Jacquelyn Olson Leech | Counselor | 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 | 2019-06-10 |
| 1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
| 1831657857 | Michael E Mcinroy | Counselor | 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 | 2019-03-08 |
| 1396231825 | Catherine Walters | Counselor | 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 | 2018-07-09 |
| 1053804617 | Ankeny Family Counseling | Counselor | 2301 W. 1st St. #4, Ankeny, IA 50023 | 2018-06-08 |
| 1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
| Find all providers in zip 50023 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006122 | Ankeny Smiles, LLC | Dentist | 225 Se Oralabor Rd Ste 3, Ankeny, IA 50021-9118 | 2019-07-30 |
| 1699295923 | Emma F Villiard | Dentist | 2005 Se Delaware Ave Ste 1, Ankeny, IA 50021-4302 | 2017-06-27 |
| 1184887630 | Jerad Lyle Hintz | Dentist | 319 N Ankeny Blvd, Ankeny, IA 50023-1711 | 2008-07-04 |
| 1932380243 | Jenna T Vigneron | Dentist | 2409 Se Delaware Ave Ste 100, Ankeny, IA 50021-4568 | 2007-11-15 |
| 1235257221 | Chadwin J Wagener | Dentist | 340 Se Delaware Ave, Ankeny, IA 50021-9346 | 2007-03-27 |
| 1972654838 | Edwyn Schooley | Dentist | 2401 Se Tones Dr Ste 13, Ankeny, IA 50021-8886 | 2007-01-16 |
| 1265592984 | Zackary Keith Dow | Dentist | 2952 Sw Meadow Ridge Dr, Ankeny, IA 50023-9471 | 2006-12-11 |
| 1740841592 | Brandon Alan Throckmorton | Dentist | 340 Se Delaware Ave, Ankeny, IA 50021-9346 | 2019-06-24 |
| 1184116758 | Jameson Egons Klavins | Dentist | 319 N Ankeny Blvd, Ankeny, IA 50023-1711 | 2018-05-30 |
| 1356712731 | Brittany Kristen Johansen | Dentist | 1630 Sw White Birch Cir, Ankeny, IA 50023-7213 | 2015-10-12 |
| Find all providers in ANKENY | ||||
Please comment or provide details below to improve the information on SUMMIT FAMILY DENTAL, P.C..
| 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.