DR. RYAN NORMAN BORGWARDT (NPI# 1013234194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013234194 |
| Entity Type | Individual |
| Full Name | DR. RYAN NORMAN BORGWARDT |
| Credential | D.D.S. |
| Practice Address |
820 Fisher Drive Waterloo IA 50701 |
| Mailing Address |
3640 Canterbury Ct Waterloo IA 50702-5705 |
| Practice Telephone | 3192338851 |
| Practice Fax Number | 3192330132 |
| Mailing Telephone | 3192338851 |
| Mailing Fax Number | 3192330132 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
08807 | IA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
018.001765 | IL | Dental Providers |
| Street Address |
820 FISHER DRIVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| 1801052915 | Benjamin Robert Peterson | Dentist | 424 South St., Waterloo, IA 50701 | 2008-07-29 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366585119 | Michael T Letkewicz | Dentist | 3430 Kimball Ave, Waterloo, IA 50702 | 2007-02-14 |
| 1609827013 | Foster Oral Surgery PC | Dentist | 845 W 4th Street, Waterloo, IA 50702 | 2006-05-12 |
| 1023060365 | Edwin D King | Dentist | 845 W 4th Street, Waterloo, IA 50702 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970655 | Advanced Oral Surgery, Pllc | Dentist | 3265 S 24th St, Council Bluffs, IA 51501-6901 | 2019-09-06 |
| 1528421237 | Timothy Scott Albright | Dentist | 2814 Northgate Dr Ste 2, Iowa City, IA 52245-9513 | 2016-03-30 |
| 1467846519 | Edward H Schaefer Iv | Dentist | 201 Ridge St Ste 308, Council Bluffs, IA 51503-4643 | 2015-03-26 |
| 1386087658 | Michael Morio | Dentist | 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 | 2013-04-16 |
| 1245550003 | Douglas Kendrick | Dentist | 451 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2010-06-03 |
| 1689802910 | Benjamin Luke Fuller | Dentist | 835 3rd Ave Sw, Cedar Rapids, IA 52404-1810 | 2009-06-25 |
| 1801093067 | Ryan A Marsh | Dentist | 7400 Fleur Dr, Ste 200, Des Moines, IA 50321-3105 | 2007-06-29 |
| 1386847630 | John D. Janulewicz | Dentist | 7400 Fleur Drive, Suite 200, Des Moines, IA 50321-3104 | 2007-06-06 |
| 1396952297 | Jonathan R Dejong | Dentist | 804 Kenyon Rd Ste 120, Fort Dodge, IA 50501-5746 | 2007-05-17 |
| 1013038447 | Morgan and Morio Oral and Maxillofacial Surgery | Dentist | 1395 Boyson Rd, Hiawatha, IA 52233-2210 | 2007-04-03 |
| 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.