OMAR MAZEN MAKTABI (NPI# 1013334291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013334291 |
| Entity Type | Individual |
| Full Name | OMAR MAZEN MAKTABI |
| Credential | D.D.S. |
| Practice Address |
2814 Northgate Dr Ste 1 Endodontic Associates of Iowa Iowa City IA 52245-9513 |
| Mailing Address |
845 Quarry Rd #214 Coralville IA 52241-2212 |
| Practice Telephone | 3193516622 |
| Mailing Telephone | 9092192535 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2015-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS-09255 | IA | Dental Providers |
| N | 122300000X | Dentist | 63245 | CA | Dental Providers |
| Street Address |
2814 NORTHGATE DR STE 1 ENDODONTIC ASSOCIATES OF IOWA |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52245-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699356 | Mary Beth Shapcott | Registered Nurse | 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 | 2017-10-10 |
| 1366703167 | Elizabeth Bright | Occupational Therapist | 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 | 2012-06-07 |
| 1043518368 | Robert Brian Goffstein | Ophthalmology | 403 North 7th Ave, Iowa City, IA 52245 | 2011-03-10 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1215167457 | Laura J Ericson | Occupational Therapist | 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-07-22 |
| 1780818294 | Kathryn Leigh Bossen | Physical Therapist | 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 | 2009-05-12 |
| 1073751095 | Jessica L Keeran | Physical Therapist | 2751 Northgate Dr. Ne, Iowa City, IA 52245 | 2009-01-29 |
| 1437330370 | Francine Mardarello Hunnicutt | Marriage & Family Therapist | 1610 East College St, Iowa City, IA 52245 | 2007-11-20 |
| 1659574853 | Joan Victoria Rinner | Marriage & Family Therapist | 121 University Services Building, University of Iowa, Iowa City, IA 52245 | 2007-06-06 |
| 1053529966 | Steve Bernt Hammerstrom | Chiropractor | 373 B Scott Court, Iowa City, IA 52245 | 2007-05-21 |
| Find all providers in zip 52245 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992187488 | Scott Mcnaughton | Dentist | 400 S Clinton St, Iowa City, IA 52240-4105 | 2015-06-22 |
| 1225419591 | Adam Holton | Dentist | 451 Dental Science Bldg, Iowa City, IA 52242-1001 | 2015-06-12 |
| 1679903835 | Catherine Carlo | Dentist | 228 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2013-11-25 |
| 1437437449 | Majd S Haddad | Dentist | 737 Kennedy Pkwy, Iowa City, IA 52246-2842 | 2011-07-25 |
| 1992009658 | Dennis Martin Winter | Dentist | 833 River St, Iowa City, IA 52246-2438 | 2011-01-10 |
| 1285948885 | Tracy A D'antonio | Dentist | 229 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2010-08-06 |
| 1366766859 | Karine Tenorio Landim Barizon | Dentist | S229 Dental Science Bldg, Iowa City, IA 52242 | 2010-03-26 |
| 1548582067 | Ilham Talib El Khatib | Dentist | 801 Newton Rd., Dental Science Building, Iowa City, IA 52242 | 2010-02-25 |
| 1912238403 | Savitri Vaseenon | Dentist | S229 Dental Science Building, Iowa City, IA 52242 | 2010-01-22 |
| 1154654101 | Tipapat Attathom | Dentist | Operative Dentistry, Dsb, College of Dentistry, University of Iowa, Iowa City, IA 52242-1010 | 2009-09-09 |
| Find all providers in IOWA CITY | ||||
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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.