NPIMap

Organization Active NPI

Prosthodontic Associates, Inc.

  • Prosthodontics
  • Coralville, IA
National Provider Identifier
1710047063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
PROSTHODONTIC ASSOCIATES, INC.
Practice address
180 Holiday Rd
Coralville, IA 52241-1175
Phone
(319) 337-7017
Fax
(319) 337-2679
NPI assigned
Dec 9, 2006
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
Dr. James Thomas Dunne Jr., DMD, MSNPI 1245367903
Title
Partner
Phone
(319) 337-7017

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)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

180 Holiday Rd
Coralville, IA 52241-1175

Mailing address

180 Holiday Rd
Coralville, IA 52241-1175
Phone (319) 337-7017

National Provider Directory

National Provider Directory

Locations

180 Holiday Rd
Coralville, IA 52241
Phone (319) 337-7017

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710047063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HOLIDAY RD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411175",
            "telephone_number": "319-337-7017",
            "fax_number": "319-337-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 HOLIDAY RD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411175",
            "telephone_number": "319-337-7017",
            "fax_number": "319-337-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODONTIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNNE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "319-337-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, 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.