HAWKEYE FAMILY DENTAL (NPI# 1457512840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457512840 |
| Entity Type | Organization |
| Organization Name | HAWKEYE FAMILY DENTAL |
| Practice Address |
1705 S 1st Ave Ste P Iowa City IA 52240-6037 |
| Practice Telephone | 3193387172 |
| Mailing Telephone | 3193387172 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MS. MARCY LEE ZWART REINEKE (DENTIST/OWNER) |
| Authorized Official Telephone | 3193415868 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1518150689 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HAWKEYE FAMILY DENTAL PC. | 1705 S 1st Avenue Suite P, Iowa City, IA 52240 |
| Street Address |
1705 S 1ST AVE STE P |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240-6037 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659817872 | Cristina De Mattos Pimenta Vidal | Dentist | 244 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2017-01-11 |
| 1326429382 | Bren O'connor | Dentist | 108 E Market St, Iowa City, IA 52245-1733 | 2015-06-16 |
| 1245618602 | Kyle Barry | Dentist | 322 Dental Science S Bldg S, Iowa City, IA 52242-1001 | 2015-05-18 |
| 1023400132 | Bruno Cavalcanti | Dentist | 341 Dental Science Bldg W, Iowa City, IA 52242-1001 | 2015-02-26 |
| 1467889378 | Leonardo Marchini | Dentist | 337 Dental Science Bldg S, Iowa City, IA 52772 | 2013-10-09 |
| 1538420500 | Rodrigo Rocha Maia | Dentist | 322 S Dental Science Building, Iowa City, IA 52242-1001 | 2012-06-06 |
| 1750682936 | Robert Alvin Blair | Dentist | 134 Broadmoor Lane, Iowa City, IA 52245 | 2010-11-04 |
| 1518195445 | Brooke Christine Ryherd Kerr | Dentist | 322 Dental Science Bldgs, Iowa City, IA 52242 | 2009-06-30 |
| 1609080597 | Ann L. Connors, D.d.s., PC | Dentist | 803 E Market St, Iowa City, IA 52245-2643 | 2007-05-09 |
| 1467664383 | Richard Alan Schumacher | Dentist | 375 Mormon Trek Blvd, Iowa City, IA 52246 | 2007-05-04 |
| 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.