Active NPI
Northeast Family Dentistry.,P.C.
- Dentist
- Cedar Rapids, IA
National Provider Identifier
1619184231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7144
- Legal business name
- NORTHEAST FAMILY DENTISTRY.,P.C.
- Practice address
- 203 29TH St NE
Cedar Rapids, IA 52402-4835 - Phone
- (319) 364-0472
- Fax
- (319) 362-1875
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven P. Greif, D.D.S.
- Title
- Dentist
- Phone
- (319) 364-0472
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7144 | IA | Primary |
Addresses
Primary practice location
203 29TH St NE
Cedar Rapids, IA 52402-4835
Mailing address
203 29TH St NE
Cedar Rapids, IA 52402-4835
Phone (319) 364-0472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050476 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
203 29th St NE
Cedar Rapids, IA 52402
Phone (319) 364-0472
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Cedar Rapids, IA
- NPI 1306010343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1619184231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 29TH ST NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524024835",
"telephone_number": "319-364-0472",
"fax_number": "319-362-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 29TH ST NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524024835",
"telephone_number": "319-364-0472",
"fax_number": "319-362-1875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST FAMILY DENTISTRY.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "GREIF",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "319-364-0472",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IA",
"license": "7144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050476",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.