Tooth Emporium Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TOOTH EMPORIUM INC

Practice address

179 Bennett Avenue
Council Bluffs, IA 51503-5206

Phone

(712) 322-2231

Fax

(712) 322-6853

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William J Braymen, DDSNPI 1083871941

Title

Owner

Phone

(712) 322-2231

Specialties & licenses 1

Addresses

Locations

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.

• William J Braymen, DDS

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1083871941
  NPD (past) Authorized official
• Carla Kucirek, DDS

  • Dentist
  • Red Oak, IA
  • NPI 1710390125
  NPD (past)
• Tony Douglas Stuntz, D.D.S.

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1639364383
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902914757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BENNETT AVENUE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035206",
            "telephone_number": "712-322-2231",
            "fax_number": "712-322-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BENNETT AVENUE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035206",
            "telephone_number": "712-322-2231",
            "fax_number": "712-322-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH EMPORIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAYMEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-322-2231",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan T. Tinley, RN, MS, CGC
• Daniel Tipton
• Tobin Optical Center
• Christy Tolevski, CCC-SLP
• Tolosa OB GYN PC
• Total Care Chiropractic LTD
• Total Respiratory and Rehab, Inc. (Total Respiratory)
• Tracy Relational Institute, LLC
• John Robert Tracy, LCSW, LISW
• Nguyet Anh Tran, MD

• General Practice Dentistry in Council Bluffs, IA
• Providers in Council Bluffs, 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 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.