NPIMap

Organization Active NPI

Sierk Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bettendorf, IA
National Provider Identifier
1023222858
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5823 Issued in IA
Legal business name
SIERK ORTHODONTICS, PC
Practice address
1918 Middle Rd
Bettendorf, IA 52722-3292
Phone
(563) 359-8211
Fax
(563) 359-5710
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Alexander James Sierk, DDS.MSNPI 1912111717
Title
Owner
Phone
(563) 359-8211

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 5823 IA Primary

Addresses

Primary practice location

1918 Middle Rd
Bettendorf, IA 52722-3292

Mailing address

1918 Middle Rd
Bettendorf, IA 52722-3292
Phone (563) 359-8211

National Provider Directory

National Provider Directory

Locations

1918 Middle Rd
Bettendorf, IA 52722
Phone (563) 359-8211

Practitioners & affiliated clinicians

Practitioners 2

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1023222858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223292",
            "telephone_number": "563-359-8211",
            "fax_number": "563-359-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223292",
            "telephone_number": "563-359-8211",
            "fax_number": "563-359-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERK ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "SIERK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-359-8211",
        "authorized_official_credential": "DDS.MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "5823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.