Organization Active NPI

QC Dental Docs, P.C.

  • General Practice Dentistry
  • Bettendorf, IA
National Provider Identifier
1033344130
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
QC DENTAL DOCS, P.C.
Practice address
3024 Victoria St
Bettendorf, IA 52722-2793
Phone
(563) 332-2447
Fax
(563) 332-9787
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Thomas P Irwin Jr., D.M.D.NPI 1124032875
Title
Owner
Phone
(563) 332-2447

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3024 Victoria St
Bettendorf, IA 52722-2793

Mailing address

3024 Victoria St
Bettendorf, IA 52722-2793
Phone (563) 332-2447

National Provider Directory

National Provider Directory

Locations

3024 Victoria St
Bettendorf, IA 52722
Phone (563) 242-4917

Practitioners & affiliated clinicians

Practitioners 4

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1033344130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 VICTORIA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222793",
            "telephone_number": "563-332-2447",
            "fax_number": "563-332-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 VICTORIA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222793",
            "telephone_number": "563-332-2447",
            "fax_number": "563-332-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC DENTAL DOCS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-332-2447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 May 19, 2009; 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.