Active NPI
Glen B. Miska D.D.S., P.C.
- Dental Clinic/Center
- Cedar Rapids, IA
National Provider Identifier
1679785877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- GLEN B. MISKA D.D.S., P.C.
- Practice address
- 1953 1St Ave SE
Suite D3
Cedar Rapids, IA 52402-5328 - Phone
- (319) 365-7531
- Fax
- (319) 261-0431
- NPI assigned
- May 3, 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
- Glen B Miska, D.D.S.
- Title
- President
- Phone
- (319) 365-7531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1953 1St Ave SE
Suite D3
Cedar Rapids, IA 52402-5328
Mailing address
1953 1St Ave SE
Suite D3
Cedar Rapids, IA 52402-5328
Phone (319) 365-7531
National Provider Directory
National Provider DirectoryLocations
1953 1st Ave SE
Ste D3
Cedar Rapids, IA 52402
Phone (319) 365-7531
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Cedar Rapids, IA
- NPI 1285913202
-
- General Practice Dentistry
- Cedar Rapids, IA
- NPI 1033373055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679785877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1953 1ST AVE SE",
"address_2": "SUITE D3",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025328",
"telephone_number": "319-365-7531",
"fax_number": "319-261-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1953 1ST AVE SE",
"address_2": "SUITE D3",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025328",
"telephone_number": "319-365-7531",
"fax_number": "319-261-0431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLEN B. MISKA D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MISKA",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-365-7531",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 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.