Organization Active NPI

Dac, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Maquoketa, IA
National Provider Identifier
1154496321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
4703516 Issued in IA
Legal business name
DAC, INC
Practice address
1710 E Maple St
Maquoketa, IA 52060-9214
Phone
(563) 652-5252
Fax
(563) 652-4872
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Todd Seifert
Title
Ceo
Phone
(563) 652-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 4703516 IA Primary

Addresses

Primary practice location

1710 E Maple St
Maquoketa, IA 52060-9214

Mailing address

1710 E Maple St
Maquoketa, IA 52060-9214
Phone (563) 652-5252

Other identifiers 1

IdentifierTypeStateIssuer
1491878MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Dac Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154496321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E MAPLE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520609214",
            "telephone_number": "563-652-5252",
            "fax_number": "563-652-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E MAPLE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520609214",
            "telephone_number": "563-652-5252",
            "fax_number": "563-652-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIFERT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-652-5252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IA",
            "license": "4703516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491878",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maquoketa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.