DR. MANUEL GOMEZ (NPI# 1417051418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417051418 |
| Entity Type | Individual |
| Full Name | DR. MANUEL GOMEZ |
| Credential | DDS |
| Practice Address |
322 S Dental Science Bldg Iowa City IA 52242-1001 |
| Mailing Address |
257 S Dental Science Bldg Iowa City IA 52242-1001 |
| Practice Telephone | 3193357440 |
| Practice Fax Number | 3193357451 |
| Mailing Telephone | 3193357431 |
| Mailing Fax Number | 3193357155 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
40088 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0475087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992136634 | Manuel Gomez IIi | Occupational Therapist | 2922 N Rose St, Harlingen, TX 78550-3629 | 2013-12-05 |
| 1285876409 | Manuel O. Gomez | Counselor | 141 E Central Ave Ste 340, Winter Haven, FL 33880 | 2009-04-02 |
| 1215139944 | Manuel Gomez | Obstetrics & Gynecology | Carretera 3 Km 85.6 Barrio Candelero Plaza Del Mar, Humacao, PR 00791 | 2007-06-04 |
| 1841293636 | Manuel Antonio Gomez | Pathology | 320 W Main St, White Sulphur Springs, WV 24986-2414 | 2005-05-24 |
| 1831790880 | Manuel Gomez | Case Manager/Care Coordinator | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-11-05 |
| 1649882796 | Manuel D Gomez | Pharmacist | 151 N State St, Chicago, IL 60601-3601 | 2020-08-20 |
| 1336783422 | Manuel Acosta Gomez | Counselor | 1100 N D St, San Bernardino, CA 92410-3524 | 2019-10-31 |
| 1952487688 | Manuel A Gomez | Family Medicine | 1082 E Brandon Blvd, Brandon, FL 33511-5509 | 2006-10-27 |
| 1245274232 | Manuel Joaquin Gomez | Pediatrics | 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 | 2006-06-16 |
| Street Address |
322 S DENTAL SCIENCE BLDG |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528162526 | John V Doering | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-09-11 |
| 1518150689 | Marcy Lee Zwart | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-08-22 |
| 1275732968 | Marie Eve Asselin | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-07-13 |
| 1215059092 | Paula L Weistroffer | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-04-04 |
| 1518005743 | Keri Collison Stahle | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-02-01 |
| 1295885432 | Grant Michael Vanbeek | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-01-11 |
| 1619057387 | David Christopher Johnsen | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| 1043390719 | Dennis Joseph Weir | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| 1033299797 | Deborah S Schekle | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| 1013097781 | Cynthia Kay Christensen | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| 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 |
|---|---|---|---|---|
| 1568813780 | Carolina Cucco | Dentist | 322 Dental Science Building South, Iowa City, IA 52242-1001 | 2016-06-29 |
| 1407130420 | Rene Chu | Dentist | 341 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-10 |
| 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 |
| 1588788756 | Fabricio Teixeira | Dentist | 341 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2007-03-16 |
| 1326191149 | Lanny V Kampfe | Dentist | 1321 Sunset Street, Iowa City, IA 52246 | 2007-01-18 |
| 1427505056 | Zachary Goettsche | Dentist | 801 Newton Rd., Department of Endodontics, Iowa City, IA 52242-1010 | 2016-09-01 |
| 1629484613 | Lauren Elizabeth Jensen | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2014-07-10 |
| 1689006520 | Mark Philip Sullivan | Dentist | 801 Newton Road, W341 Dental Science Building, Iowa City, IA 52242-1001 | 2013-08-02 |
| 1427360015 | T L Green | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2010-07-12 |
| 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.