Cedar Rapids Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

08795 Issued in IA

Legal business name

CEDAR RAPIDS PEDIATRIC DENTISTRY LLC

Practice address

1962 1St Ave NE
Cedar Rapids Pediatric Dentistry
Cedar Rapids, IA 52402-5330

Phone

(319) 364-2413

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By 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

Sarah E Swenson, DDSNPI 1497067698

Title

Manager

Phone

(319) 364-2413

Specialties & licenses 2

Addresses

Other names 1

• Cedar Rapids Pediatric Dentistry PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Elizabeth Swenson, DDS

  • Pediatric Dentistry
  • Cedar Rapids, IA
  • NPI 1497067698
  Authorized official Same address or phone

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1043755408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 1ST AVE NE",
            "address_2": "CEDAR RAPIDS PEDIATRIC DENTISTRY",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025330",
            "telephone_number": "319-364-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 1ST AVE NE",
            "address_2": "CEDAR RAPIDS PEDIATRIC DENTISTRY",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025330",
            "telephone_number": "319-364-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RAPIDS PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-364-2413",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08765",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Rapids Pediatric Dentistry PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• 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
• Cedar Rapids Periodontics & Dental Implants
• Cedar Rapids Psychiatry
• Cedar Rapids Skilled Nursing Facility LLC (Harmony Cedar Rapids)
• Cedar Rapids Smile Center PLC
• Cedar Valley Hand Surgery, PLC

• Pediatric Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.