Elite Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ELITE ORTHODONTICS LLC

Practice address

222 Edgewood Road NW
Cedar Rapids, IA 52405-4472

Phone

(319) 396-8364

Fax

(319) 396-5800

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By 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. Brady Allen Novak, DDS, MS

Title

Orthodentist Co-Owner

Phone

(319) 396-8364

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Karl Edward Swenson, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cedar Rapids, IA
  • NPI 1679885750
  NPD (past)
• Timothy Van Winegarden, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cedar Rapids, IA
  • NPI 1669778148
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1508482852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 EDGEWOOD ROAD NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054472",
            "telephone_number": "319-396-8364",
            "fax_number": "319-396-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 EDGEWOOD ROAD NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054472",
            "telephone_number": "319-396-8364",
            "fax_number": "319-396-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ORTHODENTIST CO-OWNER",
        "authorized_official_telephone_number": "319-396-8364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amal Sadeg El-Bakush, MD
• Element Therapy Solutions
• Yasir G Elhawi, MD
• Elite Med Supply
• Elite Medical Care Ia PC
• Nicole Elliott, LMHC
• Debra Sue Elshoff, LPN
• Emerald Hope LLC
• Emeritus Properties II, Inc (Brookdale Cedar Rapids)
• Empathy Family Home Care (Owner)

• Orthodontics and Dentofacial Orthopedics Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.