DOUGLAS KENDRICK (NPI# 1245550003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245550003 |
| Entity Type | Individual |
| Full Name | DOUGLAS KENDRICK |
| Credential | DDS |
| Practice Address |
451 Dental Science Bldg S Iowa City IA 52242-1001 |
| Mailing Address |
322 Dental Science Bldg S Iowa City IA 52242-1001 |
| Practice Telephone | 3193357522 |
| Mailing Telephone | 3193357440 |
| Mailing Fax Number | 3193357451 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2015-07-09 |
| 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 |
08722 | IA | Dental Providers |
| Street Address |
451 DENTAL SCIENCE BLDG S |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558702563 | Brandon M Syme | Dentist | 451 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| 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 |
|---|---|---|---|---|
| 1528421237 | Timothy Scott Albright | Dentist | 2814 Northgate Dr Ste 2, Iowa City, IA 52245-9513 | 2016-03-30 |
| 1225044670 | Edward Lawrence Lorson | Dentist | 2814 Northgate Dr, Suite 2, Iowa City, IA 52245-9568 | 2006-07-31 |
| 1033134358 | Todd M Juhlin | Dentist | 2814 Northgate Drive, Suite 2, Iowa City, IA 52245 | 2006-07-13 |
| 1487613212 | John O. Rice | Dentist | 454 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2006-03-21 |
| 1942278551 | Timothy J Holton | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2006-03-09 |
| 1609866672 | Terry Lee Hopper | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2005-10-21 |
| 1508124785 | Aaron Daniel Figueroa | Dentist | 51300 Pomerantz Family Pavillion, Iowa City, IA 52242 | 2012-04-25 |
| 1053548404 | Kyle Matthew Stein | Dentist | 200 Hawkins Dr, Hospital Dentistry Institute - Uihc, Iowa City, IA 52242-1009 | 2009-06-12 |
| 1841407756 | Steven L Fletcher | Dentist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-17 |
| 1942413661 | Chad Michael Pfohl | Dentist | 2814 Northgate Dr, Suite 2, Iowa City, IA 52245-9513 | 2007-05-08 |
| 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.