DR. BEN COOPER JORGENSEN (NPI# 1649521121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649521121 |
| Entity Type | Individual |
| Full Name | DR. BEN COOPER JORGENSEN |
| Credential | DDS |
| Practice Address |
550 Pond View Dr Ste 2 North Liberty IA 52317 |
| Mailing Address |
322 Dental Science S Iowa City IA 52242-1001 |
| Practice Telephone | 3194591975 |
| Practice Fax Number | 3194591977 |
| Mailing Telephone | 3193841139 |
| Mailing Fax Number | 3193841785 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
09095 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | LHI | 1649521121 | 01 |
| Street Address |
550 POND VIEW DR STE 2 |
| City | NORTH LIBERTY |
| State | IA |
| Zip Code | 52317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724679 | Corridor Endodontics LLC | Dentist | 550 Pond View Dr Ste 2, North Liberty, IA 52317-2507 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625478 | Loving House of Hearts | In Home Supportive Care | 1129 Winchester Lane, North Liberty, IA 52317 | 2019-12-02 |
| 1508428673 | Sensory Kids Iowa | Speech-Language Pathologist | 754 Community Drive, Unit H, North Liberty, IA 52317 | 2019-06-28 |
| 1720443948 | Sarah Gallagher | Social Worker | 320 W Cherry St, North Liberty, IA 52317 | 2015-12-15 |
| 1902279797 | Emily Sara Logan | Social Worker | 1785 Curtis Bridge Road Ne, Okerberg and Associates, North Liberty, IA 52317 | 2015-11-03 |
| 1033515408 | Ashley Sconzo | Contractor | 1695 N Jones Blvd Apt 2, North Liberty, IA 52317 | 2014-11-13 |
| 1679900146 | Brianna June Clarahan | Physical Therapist | 1565 Cedar Springs Drive, North Liberty, IA 52317 | 2013-09-30 |
| 1164629937 | Mercy Physician Associates, Inc | Family Medicine | 1765 Lininger Lane, North Liberty, IA 52317 | 2007-06-27 |
| 1023141330 | Meadowlark Partners LLC | Clinical Neuropsychologist | 320 W. Cherry St, North Liberty, IA 52317 | 2007-03-14 |
| 1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
| 1831186097 | Sarah Elizabeth Clark | Dentist | 650 W. Cherry St., Suite 5, North Liberty, IA 52317 | 2005-10-04 |
| Find all providers in zip 52317 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724679 | Corridor Endodontics LLC | Dentist | 550 Pond View Dr Ste 2, North Liberty, IA 52317-2507 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813780 | Carolina Cucco | Dentist | 322 Dental Science Building South, Iowa City, IA 52242-1001 | 2016-06-29 |
| 1114301231 | Chase Wicker | Dentist | 2750 1st Ave Ne Ste 410, Cedar Rapids, IA 52402-4831 | 2015-07-18 |
| 1285041541 | Kenneth Hermsen | Dentist | 114 1/2 S. 6th Street, Council Bluffs, IA 51501-4324 | 2014-07-18 |
| 1134552995 | Daniel David Hiserote Jr. | Dentist | 1629 1st Ave Sw, Sioux Center, IA 51250-1120 | 2013-08-15 |
| 1407130420 | Rene Chu | Dentist | 341 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-10 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1700105442 | Cedar Valley Endodontics, LLC | Dentist | 209 Brookeridge Dr, Waterloo, IA 50702-5703 | 2010-05-20 |
| 1124275490 | Jose David Vela | Dentist | Department of Endodontics, 435 Dental Science Building S., Iowa City, IA 52242 | 2008-08-19 |
| 1134317845 | Tobin Norman Drake | Dentist | 435 Dsb South, University of Iowa - College of Dentistry, Iowa City, IA 52242 | 2007-10-09 |
| 1346443744 | Thomas Leigh Peek | Dentist | 2929 Center Point Rd Ne, Cedar Rapids, IA 52402-4035 | 2007-06-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LIBERTY |
| Zip Code | 52317 |
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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.