DR. JOHN MERGEN MERGEN (NPI# 1215017835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215017835 |
| Entity Type | Individual |
| Full Name | DR. JOHN MERGEN MERGEN |
| Credential | D.D.S., M.S. |
| Practice Address |
1509 Mall Dr Ste 1 Iowa City IA 52240-3111 |
| Practice Telephone | 3196880800 |
| Mailing Telephone | 3196880800 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7784 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0454603 | 05 |
| Street Address |
1509 MALL DR STE 1 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
| 1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
| 1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
| 1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
| 1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
| 1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
| Find all providers in zip 52240 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831486356 | Shankar Rengasamy Venugopalan | Dentist | 322 Dental Science Bldg. S, Iowa City, IA 52242-1001 | 2011-07-05 |
| 1760524565 | Nathan Eric Hall | Dentist | 613 Eastbury Dr Ste 100, Iowa City, IA 52245-7605 | 2007-02-12 |
| 1427135011 | Richard Arthur Perkins | Dentist | 1031 Wade St, Iowa City, IA 52240-6626 | 2006-11-01 |
| 1073598918 | James J Wheeler | Dentist | 51300 Pomerantz Family Pavilion, Iowa City, IA 52242 | 2005-12-14 |
| 1306229174 | Gisela Lilian Borget | Dentist | 219 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2015-06-29 |
| 1023446853 | Kyungsup Shin | Dentist | 219 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2013-10-14 |
| 1366706681 | Sreedevi Srinivasan | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2012-07-02 |
| 1124385448 | Michael A Callan | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2012-04-12 |
| 1457636375 | David Alan Jones | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-12 |
| 1063640027 | Suzanne Elizabeth Stock | Dentist | 1031 Wade St, Iowa City, IA 52240-6626 | 2009-06-29 |
| 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.