DR. DANIEL DAVID HISEROTE JR. (NPI# 1134552995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134552995 |
Entity Type | Individual |
Full Name | DR. DANIEL DAVID HISEROTE JR. |
Credential | D.D.S. |
Practice Address |
1629 1st Ave Sw Sioux Center IA 51250-1120 |
Practice Telephone | 7127223216 |
Practice Fax Number | 7127223218 |
Mailing Telephone | 7127223216 |
Mailing Fax Number | 7127223218 |
Enumeration Date | 2013-08-15 |
Last Update Date | 2015-12-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DDS-09048 | IA | Dental Providers |
Street Address |
1629 1ST AVE SW |
City | SIOUX CENTER |
State | IA |
Zip Code | 51250-1120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043718364 | Darlene Pieper | Counselor | 315 First Ave Ne, Sioux Center, IA 51250 | 2018-02-01 |
1740620285 | Trevor James Kuiper | Dentist | 1320 S Main Ave, Sioux Center, IA 51250 | 2013-06-28 |
1922002989 | Scott Driesen | Optometrist | 318 N Main Ave, Sioux Center, IA 51250-0020 | 2005-06-08 |
1770643132 | City of Sioux Center - City Treasurer | Ambulance | 341 North Main, Sioux Center, IA 51250-0313 | 2006-12-08 |
1952882771 | Caroline Reinders | Physical Therapist | 1685 3rd Ave Se, Sioux Center, IA 51250-1137 | 2018-08-29 |
1124054481 | Hy Vee Inc | Pharmacy | 1951 S Main Ave, Sioux Center, IA 51250-1173 | 2006-06-25 |
1558996116 | Raelle Christine Van Maanen | Pharmacist | 1951 S Main Ave, Sioux Center, IA 51250-1173 | 2020-03-04 |
1841318698 | Susan Lynn Smith | Pharmacist | 1951 S Main Ave, Sioux Center, IA 51250-1173 | 2007-03-27 |
1659497139 | Rebecca Beitelspacher | Pharmacist | 1951 S Main Ave, Sioux Center, IA 51250-1173 | 2007-03-22 |
1255948378 | Restore Therapy and Counseling, Plc | Social Worker | 24 19th St Sw, Sioux Center, IA 51250-1194 | 2020-09-24 |
Find all providers in zip 51250 |
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 |
---|---|---|---|---|
1568813780 | Carolina Cucco | Dentist | 322 Dental Science Building South, Iowa City, IA 52242-1001 | 2016-06-29 |
1114301231 | Chase Wicker | Dentist | 2750 1st Ave Ne Ste 410, Cedar Rapids, IA 52402-4831 | 2015-07-18 |
1285041541 | Kenneth Hermsen | Dentist | 114 1/2 S. 6th Street, Council Bluffs, IA 51501-4324 | 2014-07-18 |
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 |
1346443744 | Thomas Leigh Peek | Dentist | 2929 Center Point Rd Ne, Cedar Rapids, IA 52402-4035 | 2007-06-06 |
Find all providers with the same taxonomy |
City | SIOUX CENTER |
Zip Code | 51250 |
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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.