The Cedar Rapids Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7588 Issued in IA

Legal business name

THE CEDAR RAPIDS DENTAL CENTER

Practice address

815 38TH St SE
Cedar Rapids, IA 52403-4300

Phone

(319) 365-0534

Fax

(319) 297-7417

NPI assigned

Feb 28, 2007

Last updated

Sep 11, 2025By 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

Ms. Lisa M Shannon

Title

Office Manager

Phone

(319) 365-0534

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• The Dental Center Former legal business name

Locations

Practitioners 6

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.

• Valeria Escamilla Munoz, DDS

  • General Practice Dentistry
  • North Liberty, IA
  • NPI 1922782440
  NPD (past)
• Chris R Haganman, DDS MS

  • General Practice Dentistry
  • Cedar Rapids, IA
  • NPI 1003943143
  NPD (past)
• Kyle Christopher Haganman, DDS

  • General Practice Dentistry
  • West Branch, IA
  • NPI 1730757725
  NPD (past)
• Shannon L Hingst, DDS

  • General Practice Dentistry
  • Cedar Rapids, IA
  • NPI 1134256290
  NPD (past)
• Lexi Marie Kelly, DDS

  • Dentist
  • Cedar Rapids, IA
  • NPI 1134016041
  NPD (past)
• Brad L Stovie, DDS

  • General Practice Dentistry
  • Cedar Rapids, IA
  • NPI 1659408706
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346377918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 38TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034300",
            "telephone_number": "319-365-0534",
            "fax_number": "319-297-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 38TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034300",
            "telephone_number": "319-365-0534",
            "fax_number": "319-297-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CEDAR RAPIDS DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-365-0534",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7446",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7949",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7588",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IA",
            "license": "7446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084855",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280362",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281063",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ryan R Terribile, LMSW
• Mary Tharp, LISW
• Eric Duane Thayer, DNP
• The Arc of East Central Iowa
• The Breathing Room Counseling PLLC
• The Center for Self LLC
• The Cozy Corner Therapy & Counseling PLLC
• The Outpatient Surgery Center of Cedar Rapids, LLC (Surgery Center Cedar Rapids)
• The Physical Therapy Center of Cedar Rapids, PC
• The Teggatz Clinic PC

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, 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 Sep 11, 2025; 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.