DR. GARY VANHOFWEGEN (NPI# 1073692661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073692661 |
| Entity Type | Individual |
| Full Name | DR. GARY VANHOFWEGEN |
| Credential | DDS |
| Practice Address |
18 West 4th St Spencer IA 51301 |
| Mailing Address |
18 West 4th St Po Box 224 Spencer IA 51301 |
| Practice Telephone | 7122624751 |
| Practice Fax Number | 7122627278 |
| Mailing Telephone | 7122624751 |
| Mailing Fax Number | 7122627278 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
06343 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC/BS OF TN | 3144570 | 01 |
| KS | BC/BS OF KS | 413707 | 01 |
| IA | 0150375 | 05 | |
| NJ | BC/BS OF NJ | 06343 | 01 |
| PA | UNITED CONCORDIA | 869122 | 01 |
| IA | BC/BS OF IA | 17805 | 01 |
| Street Address |
18 WEST 4TH ST |
| City | SPENCER |
| State | IA |
| Zip Code | 51301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| 1629089800 | Stephanie Jo Johnson | Pathology | 116 East 11th St, Suite 204, Spencer, IA 51301 | 2006-08-11 |
| Find all providers in zip 51301 | ||||
| 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 |
|---|---|---|---|---|
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1720142334 | Charles Norman Zidko | Dentist | 104 N Thayer St, Spencer, NE 68777-0219 | 2006-12-20 |
| 1497834576 | Joshua Munter | Dentist | 18 W 4th St, Spencer, IA 51301-4013 | 2006-11-02 |
| 1376626739 | T. R. Shively | Dentist | 1206 2nd Ave E, Spencer, IA 51301-4424 | 2006-10-21 |
| 1689783862 | Darrell Francis Fox | Dentist | 1709 Mcnaughton Way, Spencer, IA 51301-2835 | 2006-08-30 |
| 1306872346 | William Douglas Kenfield | Dentist | 77 Fairview Ave, Spencer, IN 47460-1513 | 2006-06-23 |
| 1619973716 | Nasser S. Hanna I | Dentist | 284 Main St, Spencer, MA 01562-1839 | 2005-06-23 |
| 1730713280 | Kenfield Dental Group LLC | Dentist | 77 Fairview Ave, Spencer, IN 47460-1513 | 2020-02-24 |
| 1962819490 | Daniel Ryan Garman | Dentist | 1709 Mcnaughton Way, Spencer, IA 51301-2835 | 2014-07-16 |
| 1598178295 | Randall Stephen Brannon | Dentist | 350 Hospital Dr, Spencer, WV 25276-1049 | 2014-06-10 |
| Find all providers in SPENCER | ||||
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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.