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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
7574 | IA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0105577 | 05 |
Street Address |
222 EDGEWOOD RD NW |
City | CEDAR RAPIDS |
State | IA |
Zip Code | 52405-4472 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
1497202923 | Mary Frances Schmidt-luhring | Counselor | 3100 E Ave Nw, Suite 105, Heart and Solutions, LLC, Cedar Rapids, IA 52405 | 2016-09-01 |
1013298116 | Daniel Hernandez | Non-emergency Medical Transport (VAN) | 408 Day St Northwest, Cedar Rapids, IA 52405 | 2011-09-01 |
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 |
Find all providers in zip 52405 |
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 |
---|---|---|---|---|
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 |
City | CEDAR RAPIDS |
Zip Code | 52405 |
Please comment or provide details below to improve the information on KRISTINE J MEDIN.
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.