Agape Dentistry, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AGAPE DENTISTRY, PLC

Doing business as

Addink & Van Es Dentistry

Practice address

159 S Main Ave
Sioux Center, IA 51250-1535

Phone

(712) 722-2618

Fax

(712) 722-2638

NPI assigned

Jan 3, 2007

Last updated

Feb 25, 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

Mrs. Diane Koele

Title

Business Administrator

Phone

(712) 722-2618

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Addink & Van Es Dentistry Doing business as

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1336206515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501535",
            "telephone_number": "712-722-2618",
            "fax_number": "712-722-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S MAIN AVE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501535",
            "telephone_number": "712-722-2618",
            "fax_number": "712-722-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE DENTISTRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "KOELE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "712-722-2618",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739029",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addink & Van Es Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Joy Adams, LISW
• Ken L Addink, DDS
• Agape Dentistry, PC (Addink & Van Es Dentistry)
• Lorianne S Andersen, MD
• Ashley Marie Anderson
• Julie L Arends, MSPT
• Tiffany Armstrong, D.C.
• Tyler Armstrong, D.C.

• General Practice Dentistry in Sioux Center, IA
• Providers in Sioux Center, 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 Feb 25, 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.