Dubuque Endodontics, PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS-09070 Issued in IA

Legal business name

DUBUQUE ENDODONTICS, PC

Practice address

988 W 3Rd St
Suite 107
Dubuque, IA 52001-6666

Phone

(563) 583-1050

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By 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. John Robert Lundstrom I, D.D.S., M.S.

Title

Owner/Partner

Phone

(563) 583-1050

Specialties & licenses 2

Addresses

Locations

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.

• Luke Joseph Hamann, D.M.D.

  • Endodontics
  • Dubuque, IA
  • NPI 1023268836
  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1487025391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 W 3RD ST",
            "address_2": "SUITE 107",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016666",
            "telephone_number": "563-583-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 W 3RD ST",
            "address_2": "SUITE 107",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016666",
            "telephone_number": "563-583-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "LUNDSTROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "563-583-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "DDS-08953",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "DDS-09070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dubuque County Hospital (Sunnycrest Manor ICF/IID)
• Dubuque Dental Associates
• Dubuque Dental Enterprises, PLLC
• Dubuque Dermatology P.C.
• Dubuque Emergency Physicians PC
• Dubuque Endoscopy Center LC
• Dubuque ENT Head & Neck Surgery P.C.
• Dubuque Family Chiropractic P.L.L.C.
• Dubuque Family Eye Care PC
• Dubuque Family Practice, PC

• Endodontics in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Endodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.