IndividualActive
Lyle Roudabush, D.D.S.
NPI 1861520652 · General Practice Dentistry · Grinnell, IA
Lyle Roudabush, D.D.S. is a General Practice Dentistry provider in Grinnell, IA (NPI 1861520652).
Provider details
- NPI number
- 1861520652
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 5719 (IA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
825 Broad St
Grinnell, IA 50112-2153
Phone: (641) 236-6169
Fax: (641) 236-6041
Street-level locationGet directions
Mailing address
125 16th Ave.
Grinnell, IA 50112
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Lyle Roudabush's NPI number?
- Lyle Roudabush's National Provider Identifier (NPI) is 1861520652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lyle Roudabush's specialty?
- Lyle Roudabush is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Lyle Roudabush located?
- Lyle Roudabush's practice location on file with NPPES is 825 Broad St, Grinnell, IA 50112-2153.
- What is Lyle Roudabush's phone number?
- The practice phone number listed in the NPPES registry for Lyle Roudabush is (641) 236-6169.
- Is Lyle Roudabush's NPI active?
- Yes — Lyle Roudabush's NPI (1861520652) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.