QUAD CITIES PERIODONTICS, LLC (NPI# 1013184217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013184217 |
Entity Type | Organization |
Organization Name | QUAD CITIES PERIODONTICS, LLC |
Practice Address |
1800 E 54th St Suite A Davenport IA 52807-2852 |
Practice Telephone | 5633444867 |
Practice Fax Number | 5633440215 |
Mailing Telephone | 5633444867 |
Mailing Fax Number | 5633440215 |
Enumeration Date | 2008-05-15 |
Last Update Date | 2008-05-15 |
Authorized Official Name | MICHAEL RYAN FRANZMAN (OWNER) |
Authorized Official Telephone | 5633444867 |
Authorized Official Credential | D.D.S., M.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
08258 | IA | Ambulatory Health Care Facilities |
Street Address |
1800 E 54TH ST SUITE A |
City | DAVENPORT |
State | IA |
Zip Code | 52807-2852 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
Find all providers in zip 52807 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336511120 | Kathryn A. Kell Dds PC | Clinic/Center | 1751 E 54th St, Davenport, IA 52807-2769 | 2015-10-20 |
1831110790 | Qc Family Dentistry | Clinic/Center | 2002 N Fairmount St, Davenport, IA 52804-2808 | 2006-07-23 |
1598759029 | Community Health Care, Inc. | Clinic/Center | 125 Scott St, Davenport, IA 52801-1130 | 2005-09-12 |
1558852277 | R & R Family Dentistry | Clinic/Center | 3435 Spring St Ste 2, Davenport, IA 52807-2142 | 2018-05-29 |
1841746633 | Davenport Family Dentistry | Clinic/Center | 707 Logan St, Davenport, WA 99122-1312 | 2016-08-31 |
1891940789 | Knute J Hernas Dds Ps | Clinic/Center | 100 3rd St, Suite 3, Davenport, WA 99122-5008 | 2008-11-19 |
1033378120 | William H Bausch Dds PC | Clinic/Center | 3575 Jersey Ridge Rd, Davenport, IA 52807-2292 | 2008-06-04 |
1518124460 | Steven P Anderson | Clinic/Center | 2208 E 52nd St, Davenport, IA 52807-2726 | 2008-05-19 |
1982769386 | Main Family Dental Care | Clinic/Center | 1905 N Main St, Davenport, IA 52803-2908 | 2006-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253068 | Wright County Family Dental | Clinic/Center | 1403 Central Ave W, Clarion, IA 50525-7707 | 2020-10-23 |
1497371397 | Carlisle Family Dentistry Pllc | Clinic/Center | 2800 Norgard Cir Ste 200, Carlisle, IA 50047-8000 | 2020-06-17 |
1457996365 | Dentistry for Children of Iowa 2, Pllc | Clinic/Center | 1738 Lininger Ln, North Liberty, IA 52317-2316 | 2019-11-14 |
1235784992 | E. Joseph Lenz Dds PC Family Dentistry | Clinic/Center | 890 7th Ave, Marion, IA 52302-5747 | 2019-08-08 |
1114490794 | Abbadent Dental LLC | Clinic/Center | 3430 Dodge St Unit 21, Dubuque, IA 52003-5218 | 2019-01-07 |
1952819369 | Jared P. Sass D.d.s Plc | Clinic/Center | 6800 Lake Dr Ste 290, West Des Moines, IA 50266-2544 | 2018-01-19 |
1114439429 | Stuart Family Dental PC | Clinic/Center | 303 Se 7th Street, Suite D, Stuart, IA 50250 | 2017-10-26 |
1881129906 | Indian Hills Community College Dental Hygiene Clinic | Clinic/Center | 525 Grandview Ave, Ottumwa, IA 52501-1359 | 2017-04-26 |
1164807145 | Bradley Scott Williams D.d.s. | Clinic/Center | 205 S 16th St, Clarinda, IA 51632-2107 | 2015-07-20 |
1326454042 | Corridor Endodontics PC | Clinic/Center | 550 Pond View Dr, Suite 2, North Liberty, IA 52317-2507 | 2014-07-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.