NPIMap

Organization Active NPI

Applewhite Dental Iowa PC

Doing business as Stone Creek Dental

  • General Practice Dentistry
  • Dyersville, IA
National Provider Identifier
1629638275
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
APPLEWHITE DENTAL IOWA PC
Doing business as
Stone Creek Dental
Practice address
613 16TH Ave SE
Dyersville, IA 52040-2050
Phone
(563) 875-9180
Fax
(563) 875-9431
NPI assigned
Jun 17, 2019
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
APPLEWHITE DENTAL IOWA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Sharon L Loso
Title
Credentialing Specialist
Phone
(563) 582-1448

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

613 16TH Ave SE
Dyersville, IA 52040-2050

Mailing address

40 Main St Ste 100
Dubuque, IA 52001-7654
Phone (563) 582-1448

Other names 1

  • Stone Creek Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Applewhite Dental Iowa PC24 organizations share this tax ID, including this one
Part of
Applewhite Dental Iowa PC

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1629638275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017654",
            "telephone_number": "563-582-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 16TH AVE SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402050",
            "telephone_number": "563-875-9180",
            "fax_number": "563-875-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEWHITE DENTAL IOWA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPLEWHITE DENTAL IOWA PC",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "LOSO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "563-582-1448"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stone Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyersville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.