NPIMap

Organization Active NPI

Chris B Lundell DDS PC

Doing business as Pines Family Dentistry

  • Dentist
  • Dubuque, IA
National Provider Identifier
1902814650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6304 Issued in IA
Legal business name
CHRIS B LUNDELL DDS PC
Doing business as
Pines Family Dentistry
Practice address
2100 Asbury Rd
#7
Dubuque, IA 52001-3091
Phone
(563) 557-8262
Fax
(563) 557-3025
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Chris B Lundell, DDSNPI 1073786992
Title
President
Phone
(563) 557-8262

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
Dentist 122300000X 6304 IA Primary

Addresses

Primary practice location

2100 Asbury Rd
#7
Dubuque, IA 52001-3091

Mailing address

2100 Asbury Rd
#7
Dubuque, IA 52001-3091
Phone (563) 557-8262

Other identifiers 1

IdentifierTypeStateIssuer
0151720MedicaidIA

Other names 1

  • Pines Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2100 Asbury Rd
Ste 7
Dubuque, IA 52001
Phone (563) 557-8262

Practitioners & affiliated clinicians

Practitioners 3

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902814650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ASBURY RD",
            "address_2": "#7",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013091",
            "telephone_number": "563-557-8262",
            "fax_number": "563-557-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ASBURY RD",
            "address_2": "#7",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013091",
            "telephone_number": "563-557-8262",
            "fax_number": "563-557-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS B LUNDELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNDELL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-557-8262",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "6304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151720",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.