Cedar Rapids Periodontics & Dental Implants

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CEDAR RAPIDS PERIODONTICS & DENTAL IMPLANTS

Practice address

2727 1St Ave SE Ste 3
Cedar Rapids, IA 52402-4844

Phone

(319) 365-6150

NPI assigned

Jun 26, 2019

Last updated

Feb 15, 2020By 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. Joseph Ballatore, DMD

Title

President

Phone

(319) 365-6150

Specialties & licenses 2

Addresses

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.

• Karen Kay Wolf, DDS

  • Periodontics
  • Waverly, IA
  • NPI 1912172586
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581724800000",
    "number": "1043871411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 1ST AVE SE STE 3",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024844",
            "telephone_number": "319-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 1ST AVE SE STE 3",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024844",
            "telephone_number": "319-365-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RAPIDS PERIODONTICS & DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A",
        "authorized_official_last_name": "BALLATORE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-365-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Rapids Neurologists PC
• Cedar Rapids OB-GYN Specialists, P.C.
• Cedar Rapids Oral Surgery, PC
• Cedar Rapids Pediatric Dentistry
• Cedar Rapids Pediatric Dentistry LLC
• Cedar Rapids Psychiatry
• Cedar Rapids Skilled Nursing Facility LLC (Harmony Cedar Rapids)
• Cedar Rapids Smile Center PLC
• Cedar Valley Hand Surgery, PLC
• Cedar Valley Pathologists PC

• Periodontics in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Periodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.