KRISTINE J MEDIN


Address: 222 Edgewood Rd Nw, Cedar Rapids, IA 52405-4472
Phone: 3193656242

KRISTINE J MEDIN (NPI# 1659580306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659580306
Entity Type Individual
Full Name KRISTINE J MEDIN
Credential DDS
Practice Address 222 Edgewood Rd Nw
Cedar Rapids
IA 52405-4472
Practice Telephone 3193656242
Practice Fax Number 3193651877
Mailing Telephone 3193656242
Mailing Fax Number 3193651877
Enumeration Date 2007-05-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
7574 IA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0105577 05

Office Location

Street Address 222 EDGEWOOD RD NW
City CEDAR RAPIDS
State IA
Zip Code 52405-4472

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932278041 Ronald Nelson Psychologist 222 Edgewood Rd Nw, Ste 202, Cedar Rapids, IA 52405-4472 2006-11-06
1669778148 Timothy Van Winegarden Dentist 222 Edgewood Rd Nw, Cedar Rapids, IA 52405-4472 2011-02-01
1679885750 Karl Edward Swenson Dentist 222 Edgewood Rd Nw, Cedar Rapids, IA 52405-4472 2010-07-06
1871626838 Timothy V Winegarden Dds Msd PC Dentist 222 Edgewood Rd Nw, Cedar Rapids, IA 52405-4472 2007-03-13

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NPI Name Taxonomy Address Enumeration
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1528374758 Matthew Lorenzo Vasquez Social Worker 3113 1st Ave Nw, Cedar Rapid, IA 52405 2010-08-25
1770643470 Douglas P Dvorak Chiropractor 1427 6th St Nw, Cedar Rapids, IA 52405 2006-12-11
1144396326 West Ridge Associates Inc Skilled Nursing Facility 3131 F Ave Nw, Cedar Rapids, IA 52405 2006-11-28
1134120405 Toni Neta Social Worker 3100 E Avenue Nw, Suite 101, Cedar Rapids, IA 52405 2005-08-09
1013918051 Carol Ogea Social Worker 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 2005-08-01
1043678717 Nancy Muir Social Worker 520 11th St Nw, Abbe Center for Community Mental Health, Cedar Rapids, IA 52405 2016-02-09
1215257019 Katie Moon Counselor 520 11th St Nw, Abbe Center Community Mental Health, Cedar Rapids, IA 52405 2010-06-03
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033603451 Meghan Marie Nelson Dentist 5945 Council St Ne Ste B, Cedar Rapids, IA 52402-5858 2018-06-19
1548752959 Erik Blomquist Dentist 1201 42nd St Ne Ste 1, Cedar Rapids, IA 52402-5772 2018-05-31
1437600053 Eastern Iowa Health Center Dentist 1225 3rd Ave Se, Cedar Rapids, IA 52403-4009 2016-10-19
1578945614 Iowa Dental Health Professionals, P.C. Dentist 2215 Edgewood Rd Sw Ste 1, Cedar Rapids, IA 52404-4734 2015-06-25
1194130690 Daniel Henrich Dentist 1260 3rd Ave. Se, Cedar Rapids, IA 52403-4001 2014-06-24
1770897910 Scott Mitchell Anderson Dentist 855 A Ave Ne Ste Ll1, Cedar Rapids, IA 52402-5064 2010-07-29
1730320110 Shachindra Bahadur Dentist 2315 Edgewood Rd Sw Unit 160, Cedar Rapids, IA 52404-3391 2009-03-16
1255595831 Lacey L Mcdevitt Dentist 2315 Edgewood Rd Sw, Cedar Rapids, IA 52404-3392 2008-07-14
1053573790 Teresa S Geneser Dentist 2218 1st Ave Ne, Cedar Rapids, IA 52402-6347 2008-06-25
1154522639 John L Thornton Dentist 2715 6th St Sw, Cedar Rapids, IA 52404-4001 2007-05-30
Find all providers in CEDAR RAPIDS

Competitor

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City CEDAR RAPIDS
Zip Code 52405

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Dataset Information

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.

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