NPIMap

Organization Active NPI

Affordable Dentistry Today, PC

Doing business as Affordable Dentistry Today - Alton

  • General Practice Dentistry
  • Alton, IL
National Provider Identifier
1467674002
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTISTRY TODAY, PC
Doing business as
Affordable Dentistry Today - Alton
Practice address
3432 College Avenue
Alton, IL 62002
Phone
(618) 465-5815
Fax
(618) 465-5927
NPI assigned
May 3, 2007
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFORDABLE DENTISTRY TODAY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Amy Kroeger
Title
Ins Cood
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3432 College Avenue
Alton, IL 62002

Mailing address

3432 College Avenue
Alton, IL 62002
Phone (618) 465-5815

Other names 1

  • Affordable Dentistry Today - Alton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentistry Today PC13 organizations share this tax ID, including this one
Part of
Affordable Dentistry Today PC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3432 College Ave
Alton, IL 62002
Phone (618) 465-5815

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1467674002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 COLLEGE AVENUE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002",
            "telephone_number": "618-465-5815",
            "fax_number": "618-465-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 COLLEGE AVENUE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002",
            "telephone_number": "618-465-5815",
            "fax_number": "618-465-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTISTRY TODAY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFORDABLE DENTISTRY TODAY, PC",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentistry Today - Alton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.