NPIMap

Organization Active NPI

Affordable Dentistry Today, PC

  • General Practice Dentistry
  • East Alton, IL
National Provider Identifier
1184846628
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTISTRY TODAY, PC
Practice address
50 North Center Street
East Alton, IL 62024
Phone
(618) 259-5563
Fax
(618) 259-4074
NPI assigned
May 3, 2007
Organization subpart
Yes
Parent organization
AFFORDABLE DENTISTRY TODAY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Amy Kroeger
Title
Ins Cood
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

50 North Center Street
East Alton, IL 62024

Mailing address

50 North Center Street
East Alton, IL 62024
Phone (618) 259-5563

Other names 1

  • Affordable Dentistry Today - East Alton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentistry Today13 organizations share this tax ID, including this one
Part of
Affordable Dentistry Today

Other organizations with this tax ID 12

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

Locations

50 N Center St
East Alton, IL 62024
Phone (618) 259-5563

Practitioners & affiliated clinicians

Practitioners 2

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1184846628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NORTH CENTER STREET",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "62024",
            "telephone_number": "618-259-5563",
            "fax_number": "618-259-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORTH CENTER STREET",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "62024",
            "telephone_number": "618-259-5563",
            "fax_number": "618-259-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTISTRY TODAY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFORDABLE DENTISTRY TODAY, PC",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentistry Today - East Alton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.