Organization Active NPI

Family Dental Care Associates PLC

  • General Practice Dentistry
  • Cedar Rapids, IA
National Provider Identifier
1982938080
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6909 Issued in IA
Legal business name
FAMILY DENTAL CARE ASSOCIATES PLC
Practice address
1000 42ND St SE
Cedar Rapids, IA 52403-3987
Phone
(319) 362-0043
Fax
(319) 362-1018
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Dr. Chris Robert Haganman, DDS, MS
Title
Owner
Phone
(319) 321-0251

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6909 IA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8146 IA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 07446 IA

Addresses

Primary practice location

1000 42ND St SE
Cedar Rapids, IA 52403-3987

Mailing address

1000 42ND St SE
Cedar Rapids, IA 52403-3987
Phone (319) 362-0043

National Provider Directory

National Provider Directory

Locations

1000 42nd St SE
Cedar Rapids, IA 52403
Phone (319) 249-6970

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1982938080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 42ND ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033987",
            "telephone_number": "319-362-0043",
            "fax_number": "319-362-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 42ND ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033987",
            "telephone_number": "319-362-0043",
            "fax_number": "319-362-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "HAGANMAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-321-0251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6909",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8146",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 23, 2017; 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.