Organization Active NPI

Thomas R Schierbrock DDS Andrea L Cordenzana DDS PLC

  • Dentist
  • Co Bluffs, IA
National Provider Identifier
1407015191
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6291 Issued in IA
Legal business name
THOMAS R SCHIERBROCK DDS ANDREA L CORDENZANA DDS PLC
Practice address
427 E Kanesville Blvd
#200
Co Bluffs, IA 51503-4403
Phone
(712) 322-5318
Fax
(712) 329-6128
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Thomas Robert Schierbrock, DDSNPI 1124018106
Title
Partner
Phone
(712) 322-5318

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6291 IA Primary

Addresses

Primary practice location

427 E Kanesville Blvd
#200
Co Bluffs, IA 51503-4403

Mailing address

427 E Kanesville Blvd
#200
Co Bluffs, IA 51503-4403
Phone (712) 322-5318

National Provider Directory

National Provider Directory

Locations

427 E Kanesville Blvd
Ste 200
Council Bluffs, IA 51503
Phone (712) 322-5318

Practitioners & affiliated clinicians

Practitioners 3

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": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1407015191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD",
            "address_2": "#200",
            "city": "CO BLUFFS",
            "state": "IA",
            "postal_code": "515034403",
            "telephone_number": "712-322-5318",
            "fax_number": "712-329-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD",
            "address_2": "#200",
            "city": "CO BLUFFS",
            "state": "IA",
            "postal_code": "515034403",
            "telephone_number": "712-322-5318",
            "fax_number": "712-329-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R SCHIERBROCK DDS ANDREA L CORDENZANA DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "SCHIERBROCK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "712-322-5318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "6291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.