Adrian P Rehak, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6205 Issued in IA

Legal business name

ADRIAN P REHAK, DDS, PC

Practice address

4015 Mount Vernon Rd SE
Cedar Rapids, IA 52403-3891

Phone

(319) 362-3179

Fax

(319) 362-9586

NPI assigned

May 20, 2008

Last updated

May 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrian P Rehak, DDS

Title

Dentist/Owner

Phone

(319) 362-3179

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1184881963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 MOUNT VERNON RD SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033891",
            "telephone_number": "319-362-3179",
            "fax_number": "319-362-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 MOUNT VERNON RD SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033891",
            "telephone_number": "319-362-3179",
            "fax_number": "319-362-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN P REHAK, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "REHAK",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "319-362-3179",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Affiliates of Family Practice of Cedar Rapids (Affiliates of Family Practice)

• Dental Clinic/Center in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.