NPIMap

Organization Active NPI

Advanced Periodontics Center

  • Periodontics
  • Council Bluffs, IA
National Provider Identifier
1578095097
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
ADVANCED PERIODONTICS CENTER
Practice address
320 McKenzie Ave
Suite 207
Council Bluffs, IA 51503-1002
Phone
(712) 435-0992
Fax
(402) 552-2330
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Dr. Sima Zitouni, DDSNPI 1235669615
Title
Periodontist
Phone
(402) 651-9341

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X IA Primary

Addresses

Primary practice location

320 McKenzie Ave
Suite 207
Council Bluffs, IA 51503-1002

Mailing address

PO Box 189
Council Bluffs, IA 51502-0189
Phone (712) 435-0992

National Provider Directory

National Provider Directory

Locations

320 McKenzie Ave
Ste 207
Council Bluffs, IA 51503
Phone (712) 256-9943

Practitioners & affiliated clinicians

Practitioners 1

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1578095097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515020189",
            "telephone_number": "712-435-0992",
            "fax_number": "402-552-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MCKENZIE AVE",
            "address_2": "SUITE 207",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031002",
            "telephone_number": "712-435-0992",
            "fax_number": "402-552-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PERIODONTICS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "ZITOUNI",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "402-651-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.