DR. AMANDA JORGENSEN (NPI# 1235158452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235158452 |
| Entity Type | Individual |
| Full Name | DR. AMANDA JORGENSEN |
| Credential | D.D.S. |
| Practice Address |
100 Sw Brookside Dr Grimes IA 50111 |
| Mailing Address |
1410 Se Rosewood Ct Waukee IA 50263-8350 |
| Practice Telephone | 5159863926 |
| Practice Fax Number | 5159865116 |
| Mailing Telephone | 5157784278 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 08223 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0293605 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316242159 | Amanda Lee Jorgensen | Speech-Language Pathologist | 327 W 3rd St, Mercedes, TX 78570-3105 | 2011-01-25 |
| Street Address |
100 SW BROOKSIDE DR |
| City | GRIMES |
| State | IA |
| Zip Code | 50111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013200914 | Ccrc of Grimes, LLC | Skilled Nursing Facility | 200 Sw Brookside Drive, Grimes, IA 50111 | 2011-05-25 |
| 1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
| 1134364573 | Tram Quach | Pharmacist | 608 South 18th Street, Grimes, IA 50111 | 2008-12-15 |
| 1730338625 | Ann Marie Miller | Pharmacist | 5700 Glenstone Dr, Unit 701, Grimes, IA 50111 | 2008-09-16 |
| 1548481591 | Siebert Mobility, Inc. | Contractor | 3450 Se Miehe Drive, Suite 1, Grimes, IA 50111 | 2007-05-01 |
| 1275691867 | Nicholas John Nerem | Chiropractor | 925 Gateway Dr., Suite 200, Grimes, IA 50111 | 2006-12-05 |
| 1932275252 | Holly Marie Crowson | Chiropractor | 3000 Se Grimes Blvd, Suite 500, Grimes, IA 50111 | 2006-11-28 |
| 1922065903 | Curtis R Waddingham | Specialist/Technologist | 270 Sw 1st St, Ste H, Grimes, IA 50111 | 2006-04-26 |
| 1326011578 | Grove and Platt Dental Associates Plc | Dentist | 1541 S Third Street, Suite 300, Grimes, IA 50111 | 2006-02-08 |
| 1932411212 | Erin E Swenka | Family Medicine | 250 Sw Brookside Dr, Grimes, IA 50111 | 2010-07-02 |
| Find all providers in zip 50111 | ||||
| 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 |
|---|---|---|---|---|
| 1326011578 | Grove and Platt Dental Associates Plc | Dentist | 1541 S Third Street, Suite 300, Grimes, IA 50111 | 2006-02-08 |
| 1235337353 | Rachel Marie Hawkins | Dentist | 1541 S 3rd St, Suite 300, Grimes, IA 50111-8878 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545959 | Melika Farshad | Dentist | 1810 N Coral St Ste A, Coralville, IA 52241-7607 | 2020-07-20 |
| 1881212330 | Husein Barodawala | Dentist | 3432 Dodge St Ste 102, Dubuque, IA 52003-5254 | 2020-07-10 |
| 1891312955 | Daniel Van Roekel | Dentist | 950 28th Ave Sw Ste 2, Altoona, IA 50009-3940 | 2020-07-06 |
| 1770100505 | Ellen Leigh Hart | Dentist | 2616 Diamondwood Dr, Cedar Rapids, IA 52403-1518 | 2020-06-27 |
| 1760007850 | Layton Fritsch | Dentist | 4090 21st Ave Sw, Cedar Rapids, IA 52404-6308 | 2020-06-15 |
| 1235763830 | Michael Jeffrey Crew | Dentist | 806 S Duff Ave, Ames, IA 50010-6823 | 2020-02-24 |
| 1467006122 | Ankeny Smiles, LLC | Dentist | 225 Se Oralabor Rd Ste 3, Ankeny, IA 50021-9118 | 2019-07-30 |
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1932769635 | Grant Mccaulley | Dentist | 1540 High St Ste 201, Des Moines, IA 50309-3112 | 2019-06-17 |
| 1770143596 | Applewhite Dental Iowa PC | Dentist | 600 E 17th St S Ste A, Newton, IA 50208-4094 | 2019-06-14 |
| 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.