NPIMap

Organization Active NPI

Eastern Iowa Endodontics, PC

Doing business as Eastern Iowa Endodontics

  • Endodontics
  • Cedar Rapids, IA
National Provider Identifier
1942735519
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9161 Issued in IA
Legal business name
EASTERN IOWA ENDODONTICS, PC
Doing business as
Eastern Iowa Endodontics
Practice address
2929 Center Point Rd NE
Cedar Rapids, IA 52402-4035
Phone
(319) 382-8002
Fax
(319) 382-8111
NPI assigned
Apr 20, 2017
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Dr. Derek Thomas Peek, DDS, MSNPI 1336492040
Title
Owner
Phone
(319) 382-8002

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
Endodontics 1223E0200X 9161 IA Primary

Addresses

Primary practice location

2929 Center Point Rd NE
Cedar Rapids, IA 52402-4035

Mailing address

2929 Center Point Rd NE
Cedar Rapids, IA 52402-4035
Phone (319) 382-8002

Other names 1

  • Eastern Iowa Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2929 Center Point Rd NE
Cedar Rapids, IA 52402
Phone (319) 382-8002

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": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1942735519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024035",
            "telephone_number": "319-382-8002",
            "fax_number": "319-382-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024035",
            "telephone_number": "319-382-8002",
            "fax_number": "319-382-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN IOWA ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-382-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "9161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Iowa Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastern Iowa Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.