Organization Active NPI

Stop Decay PC

Doing business as Twin City Dental

  • General Practice Dentistry
  • Council Bluffs, IA
National Provider Identifier
1689886574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STOP DECAY PC
Doing business as
Twin City Dental
Practice address
2800 Twin City Plaza
Council Bluffs, IA 51503
Phone
(712) 366-7077
Fax
(712) 366-6925
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Darlene J King
Title
Office Manager
Phone
(402) 341-5306

Specialties & licenses 1

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

Addresses

Primary practice location

2800 Twin City Plaza
Council Bluffs, IA 51503

Mailing address

2002 Vinton Street
Omaha, NE 68108-1821
Phone (402) 341-5306

Other names 1

  • Twin City Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stop Decay PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2800 Twin City Dr
Council Bluffs, IA 51501
Phone (712) 366-7077

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689886574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 VINTON STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081821",
            "telephone_number": "402-341-5306",
            "fax_number": "402-346-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 TWIN CITY PLAZA",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-366-7077",
            "fax_number": "712-366-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOP DECAY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-341-5306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.