Organization Active NPI

Scott Alpen DDS

  • General Practice Dentistry
  • Davenport, IA
National Provider Identifier
1184768236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7304 Issued in IA
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

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
Scott Alpen, DDSNPI 1336391291
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0048157MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

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

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.