GARY L QUAST (NPI# 1639273006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639273006 |
| Entity Type | Individual |
| Full Name | GARY L QUAST |
| Credential | DDS |
| Practice Address |
201 Ridge St Suite 308 Council Bluffs IA 51503 |
| Mailing Address |
3120 So 99th Ave Omaha NE 68124 |
| Practice Telephone | 7123288892 |
| Practice Fax Number | 7123288845 |
| Mailing Telephone | 4023921999 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1270 | AZ | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5342 | IA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3880 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1931824 | 05 |
| Street Address |
201 RIDGE ST SUITE 308 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878220 | Michael Zlomke | Surgery | 201 Ridge St, Suite 214, Council Bluffs, IA 51503-4643 | 2005-08-19 |
| 1366701955 | Katelyn Elizabeth Larsen | Physician Assistant | 201 Ridge St, Suite 201, Council Bluffs, IA 51503-4643 | 2012-05-16 |
| 1982975652 | Quinn M Schulte | Physician Assistant | 201 Ridge St, Ste 302, Council Bluffs, IA 51503-4643 | 2012-01-26 |
| 1568773497 | Physicians Clinic, Inc. | Psychiatry & Neurology | 201 Ridge St, Ste. 311, Council Bluffs, IA 51503-4643 | 2010-06-25 |
| 1497073761 | Kelly A Heine | Nurse Anesthetist, Certified Registered | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2010-05-12 |
| 1598928376 | Emily Marie Lange | Obstetrics & Gynecology | 201 Ridge St, Ste 312, Council Bluffs, IA 51503-4643 | 2008-07-02 |
| 1598923484 | Lori Ann Platt | Obstetrics & Gynecology | 201 Ridge St, St. 312, Council Bluffs, IA 51503-4643 | 2008-05-28 |
| 1669648713 | Linda J Layton | Physician Assistant | 201 Ridge St, #307, Council Bluffs, IA 51503-4643 | 2008-05-07 |
| 1699986745 | Travis John Hayes | Anesthesiology | 201 Ridge St, Suite 102, Council Bluffs, IA 51503-4643 | 2007-05-24 |
| 1588794234 | Kara D Dostal | Nurse Anesthetist, Certified Registered | 201 Ridge St, Suite 21, Council Bluffs, IA 51503-4643 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1154970655 | Advanced Oral Surgery, Pllc | Dentist | 3265 S 24th St, Council Bluffs, IA 51501-6901 | 2019-09-06 |
| 1467846519 | Edward H Schaefer Iv | Dentist | 201 Ridge St Ste 308, Council Bluffs, IA 51503-4643 | 2015-03-26 |
| 1144324302 | David S Marshall | Dentist | 201 Ridge St, Suite 308, Council Bluffs, IA 51503-4643 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421237 | Timothy Scott Albright | Dentist | 2814 Northgate Dr Ste 2, Iowa City, IA 52245-9513 | 2016-03-30 |
| 1386087658 | Michael Morio | Dentist | 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 | 2013-04-16 |
| 1245550003 | Douglas Kendrick | Dentist | 451 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2010-06-03 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1689802910 | Benjamin Luke Fuller | Dentist | 835 3rd Ave Sw, Cedar Rapids, IA 52404-1810 | 2009-06-25 |
| 1801093067 | Ryan A Marsh | Dentist | 7400 Fleur Dr, Ste 200, Des Moines, IA 50321-3105 | 2007-06-29 |
| 1386847630 | John D. Janulewicz | Dentist | 7400 Fleur Drive, Suite 200, Des Moines, IA 50321-3104 | 2007-06-06 |
| 1396952297 | Jonathan R Dejong | Dentist | 804 Kenyon Rd Ste 120, Fort Dodge, IA 50501-5746 | 2007-05-17 |
| 1013038447 | Morgan and Morio Oral and Maxillofacial Surgery | Dentist | 1395 Boyson Rd, Hiawatha, IA 52233-2210 | 2007-04-03 |
| 1215071394 | North Iowa Oral Surgery and Dental Implant Center, LLP | Dentist | 1530 S Monroe Ave, Mason City, IA 50401 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on GARY L QUAST.
| 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.