Cedar Rapids Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

08765 Issued in IA

Legal business name

CEDAR RAPIDS PEDIATRIC DENTISTRY

Practice address

1962 1St Ave NE
Cedar Rapids, IA 52402-5334

Phone

(319) 351-0963

NPI assigned

Jun 28, 2012

Last updated

Jun 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Elizabeth Swenson, DDS

Title

President

Phone

(319) 351-0963

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1033473608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025334",
            "telephone_number": "319-351-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025334",
            "telephone_number": "319-351-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RAPIDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-351-0963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "08765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Rapids Med Ed Found Phcy
• Cedar Rapids Medical Education Foundation
• Cedar Rapids Neurologists PC
• Cedar Rapids OB-GYN Specialists, P.C.
• Cedar Rapids Oral Surgery, PC
• Cedar Rapids Pediatric Dentistry LLC
• Cedar Rapids Periodontics & Dental Implants
• Cedar Rapids Psychiatry
• Cedar Rapids Skilled Nursing Facility LLC (Harmony Cedar Rapids)
• Cedar Rapids Smile Center PLC

• Dental Clinic/Center in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.