EASTERN IOWA ENDODONTICS, PC (NPI# 1942735519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942735519 |
| Entity Type | Organization |
| Organization Name | EASTERN IOWA ENDODONTICS, PC |
| Other Organization Name | EASTERN IOWA ENDODONTICS |
| Practice Address |
2929 Center Point Rd Ne Cedar Rapids IA 52402-4035 |
| Practice Telephone | 3193828002 |
| Practice Fax Number | 3193828111 |
| Mailing Telephone | 3193828002 |
| Mailing Fax Number | 3193828111 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | DR. DEREK THOMAS PEEK (OWNER) |
| Authorized Official Telephone | 3193828002 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
9161 | IA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Eastern Iowa Endodontics | Doing Business As Name - Organization |
| Street Address |
2929 CENTER POINT RD NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346443744 | Thomas Leigh Peek | Dentist | 2929 Center Point Rd Ne, Cedar Rapids, IA 52402-4035 | 2007-06-06 |
| 1336492040 | Derek Thomas Peek | Dentist | 2929 Center Point Rd Ne, Cedar Rapids, IA 52402-4035 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114301231 | Chase Wicker | Dentist | 2750 1st Ave Ne Ste 410, Cedar Rapids, IA 52402-4831 | 2015-07-18 |
| 1346443744 | Thomas Leigh Peek | Dentist | 2929 Center Point Rd Ne, Cedar Rapids, IA 52402-4035 | 2007-06-06 |
| 1336492040 | Derek Thomas Peek | Dentist | 2929 Center Point Rd Ne, Cedar Rapids, IA 52402-4035 | 2012-10-18 |
| 1083817480 | Jack Chia Hsiang Liu | Dentist | 2750 1st Ave Ne, Ste 410, Cedar Rapids, IA 52402-4831 | 2007-06-06 |
| 1134248578 | Cedar Rapids Endodontics PC | Dentist | 2750 1st Ave Ne, Ste 410, Cedar Rapids, IA 52402-4845 | 2007-03-28 |
| 1770620130 | Lisa R Wilcox | Dentist | 3900 River Ridge Drive Ne, Cedar Rapids, IA 52402-7599 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813780 | Carolina Cucco | Dentist | 322 Dental Science Building South, Iowa City, IA 52242-1001 | 2016-06-29 |
| 1285041541 | Kenneth Hermsen | Dentist | 114 1/2 S. 6th Street, Council Bluffs, IA 51501-4324 | 2014-07-18 |
| 1134552995 | Daniel David Hiserote Jr. | Dentist | 1629 1st Ave Sw, Sioux Center, IA 51250-1120 | 2013-08-15 |
| 1649521121 | Ben Cooper Jorgensen | Dentist | 550 Pond View Dr Ste 2, North Liberty, IA 52317 | 2012-09-25 |
| 1407130420 | Rene Chu | Dentist | 341 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-10 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1700105442 | Cedar Valley Endodontics, LLC | Dentist | 209 Brookeridge Dr, Waterloo, IA 50702-5703 | 2010-05-20 |
| 1124275490 | Jose David Vela | Dentist | Department of Endodontics, 435 Dental Science Building S., Iowa City, IA 52242 | 2008-08-19 |
| 1134317845 | Tobin Norman Drake | Dentist | 435 Dsb South, University of Iowa - College of Dentistry, Iowa City, IA 52242 | 2007-10-09 |
| 1073721098 | Gregory C. Witt D.d.s.,marjorie A. Taylor D.d.s., P.C. | Dentist | 2466 E Kimberly Rd, Davenport, IA 52807-2338 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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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.