Edp of Iowa PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDP OF IOWA PC

Doing business as

Dona Prince DDS

Practice address

4220 Sergeant Rd
Sioux City, IA 51106-4648

Phone

(312) 800-1270

NPI assigned

Mar 12, 2019

Last updated

Sep 16, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

EDP OF IOWA PCAs reported in NPPES

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

Authorized official

Name

Roseanne Brunenkant

Title

Director of Integrations

Phone

(312) 937-3619

Specialties & licenses 1

Addresses

Other names 1

• Dona Prince DDS Doing business as

Tax ID family

Edp of Iowa PC2 organizations share this tax ID, including this one

Part of

Edp of Iowa PC

Other organizations with this tax ID 1

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

• Edp of Iowa PC

  • Dental Clinic/Center
  • Marshalltown, IA
  • NPI 1275049314
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Edp of Iowa PC

  • Dental Clinic/Center
  • Marshalltown, IA
  • NPI 1275049314
  NPPES parent name

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1720546476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W JACKSON BLVD STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043048",
            "telephone_number": "312-937-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064648",
            "telephone_number": "312-800-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDP OF IOWA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDP OF IOWA PC",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "BRUNENKANT",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_title_or_position": "DIRECTOR OF INTEGRATIONS",
        "authorized_official_telephone_number": "312-937-3619"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dona Prince DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dona Prince DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ear Nose and Throat Consultants and Hearing Services PLC
• Molly Lynn Earleywine, PA
• Clint Eastling, CADC
• Paul Joseph Eastman, M.D.
• Cynthia Ann Ebner, LISW
• Carla Edwards, BS,IADC
• Rachel Ann Edwards
• Meghan Eisma, LISW
• Julie A. Elbert, LISW
• Sadie Elizabeth Elbert, LISW

• General Practice Dentistry in Sioux City, IA
• Providers in Sioux City, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.