J&M Sunnybrook Inc Dba Sunnybrook Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

08173 Issued in IA

Legal business name

J&M SUNNYBROOK INC DBA SUNNYBROOK DENTAL

Practice address

5708 Sunnybrook Dr
Sioux City, IA 51106-4249

Phone

(712) 274-2338

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By 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. Mindy J. Stevens, DDSNPI 1639398399

Title

President/Dentist

Phone

(712) 274-2338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mindy J Stevens, D.D.S.

  • Dentist
  • Sioux City, IA
  • NPI 1639398399
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1669660254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064249",
            "telephone_number": "712-274-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064249",
            "telephone_number": "712-274-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&M SUNNYBROOK INC DBA SUNNYBROOK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "712-274-2338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "08173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Dental Health Professionals, P.C. (Family Dental Care of Sioux City)
• Iowa Hearing Associates LLC (Miracle Ear)
• Daniel Irwin
• Dina Irwin, PMHNP
• Jack Isler, MD
• Ashley Marie Jaacks, P.T.A.
• Fady F Jabre, MD
• Jackson Recovery Centers, Inc.
• Jackson Recovery Centers, Inc. (Child and Adolescent Recovery Hospital Crisis and Stabilization Unit)
• Jackson Recovery Centers, Inc. (Rosecrance Jackson Centers)

• Dental Clinic/Center in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.