DR. MARVIN C JEPSEN (NPI# 1659342848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659342848 |
| Entity Type | Individual |
| Full Name | DR. MARVIN C JEPSEN |
| Credential | D.D.S., M.S. |
| Practice Address |
3940 Ingersoll Ave Des Moines IA 50312-3506 |
| Practice Telephone | 5152749151 |
| Practice Fax Number | 5152741472 |
| Mailing Telephone | 5152749151 |
| Mailing Fax Number | 5152741472 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
05510 | IA | Dental Providers |
| Street Address |
3940 INGERSOLL AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548231434 | Scott A Johnson | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| 1760453757 | Dennis J Lowman | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| 1669443651 | Jeffery A Schwarzkopf | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| 1558332445 | John A Frank | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| 1275504177 | Oral Surgeons, P.C. | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| 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 |
|---|---|---|---|---|
| 1386087658 | Michael Morio | Dentist | 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 | 2013-04-16 |
| 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 |
| 1073937223 | Brock Radich | Dentist | 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 | 2014-02-07 |
| 1083860985 | Luke James Freml | Dentist | 7400 Fleur Dr, Des Moines, IA 50321-3105 | 2008-08-11 |
| 1548231434 | Scott A Johnson | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| 1760453757 | Dennis J Lowman | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| 1669443651 | Jeffery A Schwarzkopf | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| 1558332445 | John A Frank | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| 1275504177 | Oral Surgeons, P.C. | Dentist | 3940 Ingersoll Ave, Des Moines, IA 50312-3506 | 2006-01-30 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on DR. MARVIN C JEPSEN.
| 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.