NPIMap

Organization Active NPI

Dubuque Dental Associates

  • General Practice Dentistry
  • Dubuque, IA
National Provider Identifier
1871655159
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08217 Issued in IA
Legal business name
DUBUQUE DENTAL ASSOCIATES
Practice address
1890 John F Kennedy Rd
Dubuque, IA 52002
Phone
(563) 556-4234
Fax
(563) 556-0597
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Brett N Kilburg, DDSNPI 1235284324
Title
Dentist
Phone
(563) 556-4234

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 08217 IA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 05476 IA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 08420 IA

Addresses

Primary practice location

1890 John F Kennedy Rd
Dubuque, IA 52002

Mailing address

1890 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 556-4234

Other identifiers 15

IdentifierTypeStateIssuer
05855OtherDR JOHN MULLEN LICENSE
485525932OtherDR JOHN MULLEN SS
0081927MedicaidIA
0499004MedicaidIA
1295196MedicaidIA
1611620OtherDR BRETT KILBURG UNITED C
1895652OtherDR MELANIE STUNT UNITED C
0015818MedicaidIA
05476OtherDR HEYO TJARKS LICENSE
08217OtherDR BRETT KILBURG LICENSE
08420OtherDR MELANIE STUNT LICENSE
478500357OtherDR HEYO TJARKS SS
0762348OtherDR JOHN MULLEN UNITED CON
480084209OtherDR MELANIE STUNT SS
479026247OtherDR BRETT KILBURG SS

National Provider Directory

National Provider Directory

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1871655159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52002",
            "telephone_number": "563-556-4234",
            "fax_number": "563-556-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 JOHN F KENNEDY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52002",
            "telephone_number": "563-556-4234",
            "fax_number": "563-556-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "KILBURG",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "563-556-4234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08217",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "05476",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08420",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JOHN MULLEN LICENSE",
            "identifier": "05855",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JOHN MULLEN SS",
            "identifier": "485525932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081927",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499004",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295196",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR BRETT KILBURG UNITED C",
            "identifier": "1611620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MELANIE STUNT UNITED C",
            "identifier": "1895652",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015818",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HEYO TJARKS LICENSE",
            "identifier": "05476",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR BRETT KILBURG LICENSE",
            "identifier": "08217",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MELANIE STUNT LICENSE",
            "identifier": "08420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR HEYO TJARKS SS",
            "identifier": "478500357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JOHN MULLEN UNITED CON",
            "identifier": "0762348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MELANIE STUNT SS",
            "identifier": "480084209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR BRETT KILBURG SS",
            "identifier": "479026247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.