NPIMap

Organization Active NPI

Cedar Valley Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Cedar Falls, IA
National Provider Identifier
1194050286
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
07938 Issued in IA
Legal business name
CEDAR VALLEY PEDIATRIC DENTISTRY, PC
Practice address
1301 W 1St St
Cedar Falls, IA 50613-2113
Phone
(319) 277-4600
Fax
(319) 266-5270
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Dr. Kelley Ruehs, D.D.S.NPI 1861502437
Title
President
Phone
(319) 277-4600

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 07938 IA Primary

Addresses

Primary practice location

1301 W 1St St
Cedar Falls, IA 50613-2113

Mailing address

1301 W 1St St
Cedar Falls, IA 50613-2113
Phone (319) 277-4600

National Provider Directory

National Provider Directory

Locations

1301 W 1st St
Cedar Falls, IA 50613
Phone (319) 277-4600

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": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1194050286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 1ST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132113",
            "telephone_number": "319-277-4600",
            "fax_number": "319-266-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 1ST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132113",
            "telephone_number": "319-277-4600",
            "fax_number": "319-266-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "RUEHS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-277-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "07938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.