ADVANCED PERIODONTICS CENTER (NPI# 1578095097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578095097 |
| Entity Type | Organization |
| Organization Name | ADVANCED PERIODONTICS CENTER |
| Practice Address |
320 Mckenzie Ave Suite 207 Council Bluffs IA 51503-1002 |
| Mailing Address |
Po Box 189 Council Bluffs IA 51502-0189 |
| Practice Telephone | 7124350992 |
| Practice Fax Number | 4025522330 |
| Mailing Telephone | 7124350992 |
| Mailing Fax Number | 4025522330 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | DR. SIMA ZITOUNI (PERIODONTIST) |
| Authorized Official Telephone | 4026519341 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
IA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ADVANCED PERIODONTICS CENTER P.C. | 320 Mckenzie Ave Ste 207, Council Bluffs, IA 51503 |
| Street Address |
320 MCKENZIE AVE SUITE 207 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666794 | Edward N Prikaszczikow | Podiatrist | 320 Mckenzie Ave, Ste 102, Council Bluffs, IA 51503-1002 | 2005-08-16 |
| 1972080331 | Nancy Hall Pettit | Physician Assistant | 320 Mckenzie Ave, Suite 201, Council Bluffs, IA 51503 | 2018-07-27 |
| 1164774568 | Olson Eye Care Plc | Optometrist | 320 Mckenzie Ave, Ste 206, Council Bluffs, IA 51503-1002 | 2012-10-09 |
| 1508142423 | Regina Marie Mieska | Audiologist | 320 Mckenzie Ave, 202, Council Bluffs, IA 51503-1002 | 2011-10-24 |
| 1144533761 | Christopher Robert Olson | Optometrist | 320 Mckenzie Ave, Ste 206, Council Bluffs, IA 51503-1002 | 2010-07-24 |
| 1245568427 | Council Bluffs Foot & Ankle Care PC | Podiatrist | 320 Mckenzie Ave, Suite 102, Council Bluffs, IA 51503-1002 | 2009-11-25 |
| 1467635318 | Edward N Prikaszczikow | Podiatrist | 320 Mckenzie Ave, #102, Council Bluffs, IA 51503-1002 | 2007-12-14 |
| 1750494803 | Jason Alan Bouska | Dentist | 320 Mckenzie Ave, Suite 207, Council Bluffs, IA 51503-1002 | 2006-08-15 |
| 1972595916 | Patrick M Barnes | Podiatrist | 320 Mckenzie Ave, Suite 102, Council Bluffs, IA 51503-1002 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669615 | Sima Zitouni | Dentist | 320 Mckenzie Ave Ste 207, Council Bluffs, IA 51503-1002 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730595463 | Sarah Rinehart | Dentist | 1517 Mall Dr, Iowa City, IA 52240-3111 | 2014-07-02 |
| 1366878308 | Theodoros Katsaros | Dentist | 446 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2013-09-23 |
| 1730487224 | Gustavo Avila Ortiz | Dentist | 322 Dental Science Bldg. S445, S445, Iowa City, IA 52242-1001 | 2011-03-07 |
| 1992951552 | Bill Campbell Rubright | Dentist | 31 Forest Hill Pl Ne, Iowa City, IA 52240-9125 | 2008-08-14 |
| 1205094570 | Parkway Periodontal Group PC | Dentist | 4090 Westown Parkway #a-4, West Des Moines, IA 50266 | 2008-05-23 |
| 1962660274 | Satheesh Elangovan | Dentist | 322 S. Dental Science Bldg, Iowa City, IA 52242-1001 | 2008-05-23 |
| 1992992291 | John Delbert Tingey | Dentist | 1800 Calvin Ct Apt 3, Iowa City, IA 52246-3102 | 2007-10-01 |
| 1740485598 | Keelen Tymkiw | Dentist | University of Iowa, College of Dentistry, Periodontics, S450 Dsb, Iowa City, IA 52242 | 2007-06-20 |
| 1376755520 | Michael Ryan Franzman | Dentist | 1800 E. 54th St., Suite A, Davenport, IA 52807 | 2007-05-03 |
| 1386772085 | Kenneth John Eganhouse | Dentist | 227 W 4th St, Suite 2c, Ottumwa, IA 52501-2544 | 2007-03-02 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.