NISHNA VALLEY DENTAL (NPI# 1336634799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336634799 |
| Entity Type | Organization |
| Organization Name | NISHNA VALLEY DENTAL |
| Practice Address |
211 Chestnut St Atlantic IA 50022-1062 |
| Practice Telephone | 7122436545 |
| Practice Fax Number | 7122439739 |
| Mailing Telephone | 7122436545 |
| Mailing Fax Number | 7122439739 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | DR. TAYLOR J SCHROEDER (DENTIST) |
| Authorized Official Telephone | 7122436545 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
09290 | IA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
08886 | IA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NISHNA VALLEY DENTAL, PLLC | 211 Chestnut Street, Atlantic, IA 50022 |
| Street Address |
211 CHESTNUT ST |
| City | ATLANTIC |
| State | IA |
| Zip Code | 50022-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952984 | Cassie J Berens | Dentist | 211 Chestnut St, Atlantic, IA 50022-1062 | 2016-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227454 | Anna Johnson | Physical Therapy Assistant | 1510 E. 10th St, Atlantic, IA 50022 | 2016-10-27 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1730470212 | Jane Marie Turner | Registered Nurse | 1408 East 10th Street, Atlantic, IA 50022 | 2011-05-02 |
| 1215124532 | Assisted Living Concepts Inc | Assisted Living Facility | 1406 East 19th, Atlantic, IA 50022 | 2007-10-01 |
| 1558429134 | Roland J Flory | Podiatrist | 808 E 7th, Atlantic, IA 50022 | 2006-12-05 |
| 1073680344 | Douglas John Spicer | Dentist | 411 Poplar Street, Atlantic, IA 50022 | 2006-11-29 |
| 1235224536 | Atlantic Community School District | Local Education Agency (LEA) | 1100 Linn Street, Atlantic, IA 50022 | 2006-10-03 |
| 1518976653 | Center for The Advancement of Self Sufficiency Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1406 Sw 7th St, Atlantic, IA 50022 | 2006-08-07 |
| 1124099791 | Emerson Allen Link | Psychologist | 1408 E 10th St, Atlantic, IA 50022 | 2006-01-31 |
| 1205807872 | Rebecca R Sponsler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2006-01-31 |
| Find all providers in zip 50022 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275708117 | Timothy J Kreifels Dds PC | Clinic/Center | 402 Poplar St, Atlantic, IA 50022-1250 | 2008-04-22 |
| 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 |
| 1336511120 | Kathryn A. Kell Dds PC | Clinic/Center | 1751 E 54th St, Davenport, IA 52807-2769 | 2015-10-20 |
| 1164807145 | Bradley Scott Williams D.d.s. | Clinic/Center | 205 S 16th St, Clarinda, IA 51632-2107 | 2015-07-20 |
| Find all providers with the same taxonomy | ||||
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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.