Organization Active NPI

Affordable Dentures & Implants - Cedar Rapids III, P.C.

  • Dentist
  • Cedar Rapids, IA
National Provider Identifier
1043858699
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - CEDAR RAPIDS III, P.C.
Practice address
3135 Wiley Blvd SW Ste 104
Cedar Rapids, IA 52404-3378
Phone
(319) 362-7037
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Marco Rouman, BDS
Title
Owner
Phone
(319) 362-7037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3135 Wiley Blvd SW Ste 104
Cedar Rapids, IA 52404-3378

Mailing address

3135 Wiley Blvd SW Ste 104
Cedar Rapids, IA 52404-3378
Phone (319) 362-7037

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1043858699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 WILEY BLVD SW STE 104",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043378",
            "telephone_number": "319-362-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 WILEY BLVD SW STE 104",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043378",
            "telephone_number": "319-362-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - CEDAR RAPIDS III, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "ROUMAN",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-362-7037",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.