NPIMap

Organization Active NPI

Aaa Court Family Dental,P.C.

  • Dentist
  • Bettendorf, IA
National Provider Identifier
1740550417
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08392 Issued in MN
Legal business name
AAA COURT FAMILY DENTAL,P.C.
Practice address
2820 Aaa CT
Suite 2
Bettendorf, IA 52722-6753
Phone
(563) 449-1070
Fax
(563) 449-1072
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Mr. Benjamin R Selden, D.D.S.NPI 1841366366
Title
Copresident
Phone
(563) 449-1070

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 08392 MN Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7655 IA

Addresses

Primary practice location

2820 Aaa CT
Suite 2
Bettendorf, IA 52722-6753

Mailing address

2820 Aaa CT
Suite 2
Bettendorf, IA 52722-6753
Phone (563) 449-1070

National Provider Directory

National Provider Directory

Locations

2820 AAA Ct
Ste 2
Bettendorf, IA 52722
Phone (563) 449-1070

Practitioners 1

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1740550417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 AAA CT",
            "address_2": "SUITE 2",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226753",
            "telephone_number": "563-449-1070",
            "fax_number": "563-449-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 AAA CT",
            "address_2": "SUITE 2",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226753",
            "telephone_number": "563-449-1070",
            "fax_number": "563-449-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA COURT FAMILY DENTAL,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SELDEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COPRESIDENT",
        "authorized_official_telephone_number": "563-449-1070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "08392",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "7655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.