Dr. Stephen E. Broad DDS PC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06477 Issued in IA

Legal business name

DR. STEPHEN E. BROAD DDS PC.

Practice address

1055 N Center Point Rd
Hiawatha, IA 52233-1231

Phone

(319) 366-8521

Fax

(319) 393-2854

NPI assigned

Apr 9, 2007

Last updated

Jul 24, 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

Dr. Stephen Edwin Broad, DDSNPI 1316105265

Title

General Dentist

Phone

(319) 366-8521

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Edwin Broad, DDS PC

  • General Practice Dentistry
  • Hiawatha, IA
  • NPI 1316105265
  Authorized official Same address or phone

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1316060833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N CENTER POINT RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331231",
            "telephone_number": "319-366-8521",
            "fax_number": "319-393-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CENTER POINT RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331231",
            "telephone_number": "319-366-8521",
            "fax_number": "319-393-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHEN E. BROAD DDS PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BROAD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "319-366-8521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Dolphin, OT
• Todd F Dolphin, DPM
• Kelly Donlon
• Douglas J Recker
• Leslie Kay Downs Mullen, MS. LMFT
• Karen R Dreiling, MD
• Elizabeth Ann Dunnigan, LMSW
• Brian Robert Dvorak, D.P.M.
• Allison Dykstra, PT, DPT
• Carrie L Dykstra, MD

• General Practice Dentistry in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.