Dental Care Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6573 Issued in IA

Legal business name

DENTAL CARE ASSOCIATES

Practice address

2701 1St Ave SE
Cedar Rapids, IA 52402-4834

Phone

(319) 364-5561

Fax

(319) 364-1717

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Gordon Charles Peterson, DDSNPI 1902073174

Title

Owner

Phone

(319) 364-5561

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gordon Charles Peterson, D.D.S.

  • General Practice Dentistry
  • Cedar Rapids, IA
  • NPI 1902073174
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164569489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024834",
            "telephone_number": "319-364-5561",
            "fax_number": "319-364-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 1ST AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024834",
            "telephone_number": "319-364-5561",
            "fax_number": "319-364-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-364-5561",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Chiropractic, Inc
• Dennis L Yossi DDS
• Dennis Lagrange, Lisw, Cadc
• Douglas Allen Dennis, D.C.
• Rachel A Dennis, LMHC
• Dental Health Partners PC
• Dental Touch Associates PC
• Carol Depaepe, RN
• Derfus Counseling Services, Inc.
• Richelle L Derfus, LISW, CADC

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• General Practice Dentistry in Iowa

• 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.