Active NPI
Scott Alpen DDS
- General Practice Dentistry
- Davenport, IA
National Provider Identifier
1184768236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7304
- Legal business name
- SCOTT ALPEN DDS
- Practice address
- 3575 Jersey Ridge Rd
Suite 1
Davenport, IA 52807-2292 - Phone
- (563) 322-4433
- Fax
- (563) 355-5217
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Alpen, DDS
- Title
- Owner
- Phone
- (563) 322-4433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7304 | IA | Primary |
Addresses
Primary practice location
3575 Jersey Ridge Rd
Suite 1
Davenport, IA 52807-2292
Mailing address
3575 Jersey Ridge Rd
Suite 1
Davenport, IA 52807-2292
Phone (563) 322-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048157 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
3575 Jersey Ridge Rd
Ste 1
Davenport, IA 52807
Phone (563) 322-4433
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Davenport, IA
- NPI 1336391291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184768236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 JERSEY RIDGE RD",
"address_2": "SUITE 1",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072292",
"telephone_number": "563-322-4433",
"fax_number": "563-355-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 JERSEY RIDGE RD",
"address_2": "SUITE 1",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072292",
"telephone_number": "563-322-4433",
"fax_number": "563-355-5217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT ALPEN DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALPEN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-322-4433",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "7304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0048157",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
- Jessica Marie Schultz, PH.D.
- Levi Norman Schultz
- Michelle Lynn Schultz, NURSE PRACTITIONER
- Christopher Schumann, D.C.
- Lori Shannon Schwarm, ARNP
- Scott County Case Management
- Scott County Family Young Men'S Christian Association
- Scott County Health Department
- Scott County Health Department
- Scott County Health Department
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.