Organization Active NPI

Dubuque Periodontics PC

  • Customized Equipment (DME)
  • Dubuque, IA
National Provider Identifier
1154890945
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DUBUQUE PERIODONTICS PC
Practice address
1082 Cedar Cross Rd Ste 2
Dubuque, IA 52003-7745
Phone
(563) 557-7569
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
James Fili, DDSNPI 1225031024
Title
Owner
Phone
(563) 557-7569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1082 Cedar Cross Rd Ste 2
Dubuque, IA 52003-7745

Mailing address

1082 Cedar Cross Rd Ste 2
Dubuque, IA 52003-7745

Other names 1

  • Dubuque Dental Sleep Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1082 Cedar Cross Rd
Ste 2
Dubuque, IA 52003
Phone (563) 557-7569

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1154890945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 CEDAR CROSS RD STE 2",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 CEDAR CROSS RD STE 2",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037745",
            "telephone_number": "563-557-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE PERIODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "FILI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-557-7569",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dubuque Dental Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.