Organization Active NPI

Affordable Dentures & Implants - Sioux City III, P.C.

Doing business as Affordable Dentures & Implants - Sioux City

  • General Practice Dentistry
  • Sioux City, IA
National Provider Identifier
1740012681
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - SIOUX CITY III, P.C.
Doing business as
Affordable Dentures & Implants - Sioux City
Practice address
3110 Sunnybrook CT
Sioux City, IA 51106-4236
Phone
(712) 258-5696
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Michael Crew, DDS
Title
Owner
Phone
(712) 258-5696

Specialties & licenses 1

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

Addresses

Primary practice location

3110 Sunnybrook CT
Sioux City, IA 51106-4236

Mailing address

3110 Sunnybrook CT
Sioux City, IA 51106-4236
Phone (712) 258-5696

Other names 1

  • Affordable Dentures & Implants - Sioux City Doing business as

National Provider Directory

National Provider Directory

Locations

3110 Sunnybrook Ct
Sioux City, IA 51106
Phone (712) 258-5696

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1740012681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 SUNNYBROOK CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064236",
            "telephone_number": "712-258-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 SUNNYBROOK CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064236",
            "telephone_number": "712-258-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - SIOUX CITY III, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "CREW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-258-5696",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Sioux City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.