Affordable Dentures - Cedar Rapids, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

07856 Issued in IA

Legal business name

AFFORDABLE DENTURES - CEDAR RAPIDS, P.C.

Practice address

3135 Wiley Blvd SW
Suite 104
Cedar Rapids, IA 52404-3378

Phone

(319) 362-7037

NPI assigned

May 28, 2009

Last updated

May 28, 2009By 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

Janet S Tresnak, DDS

Title

Practice Owner

Phone

(319) 362-7037

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1497980841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 WILEY BLVD SW",
            "address_2": "SUITE 104",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043378",
            "telephone_number": "319-362-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 WILEY BLVD SW",
            "address_2": "SUITE 104",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043378",
            "telephone_number": "319-362-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - CEDAR RAPIDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "TRESNAK",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "319-362-7037",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "07856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.