DR. GEOFFREY A. IVERSON, D.D.S., LTD. (NPI# 1821283557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821283557 |
| Entity Type | Organization |
| Organization Name | DR. GEOFFREY A. IVERSON, D.D.S., LTD. |
| Practice Address |
223 1st St S Montgomery MN 56069-1601 |
| Mailing Address |
223 1st St S P.o. Box 23 Montgomery MN 56069-1601 |
| Practice Telephone | 5073647424 |
| Mailing Telephone | 5073647424 |
| Mailing Fax Number | 5073647727 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Authorized Official Name | DR. GEOFFREY ALLEN IVERSON (PRESIDENT) |
| Authorized Official Telephone | 5073647424 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 9174 | MN | Ambulatory Health Care Facilities |
| Street Address |
223 1ST ST S |
| City | MONTGOMERY |
| State | MN |
| Zip Code | 56069-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326108150 | City of Montgomery | Ambulance | 201 Ash Avenue East, Montgomery, MN 56069 | 2006-12-11 |
| 1437139714 | Robert A Taylor | Family Medicine | 501 4th St Nw, Montgomery, MN 56069 | 2006-01-20 |
| 1821495789 | Sara Marie Farias | Nurse Practitioner | 501 4th St Nw, Montgomery, MN 56069-1003 | 2014-11-20 |
| 1992198055 | Brenda Lee Hentges | Licensed Practical Nurse | 407 5th St Nw, Montgomery, MN 56069-1026 | 2015-03-13 |
| 1902430879 | Golden Years Home | Adult Companion | 506 4th St Sw, Montgomery, MN 56069-1222 | 2020-02-28 |
| 1932240314 | Blossom Hill Corporation | Assisted Living Facility | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2007-02-09 |
| 1366914392 | Susan Marie Connolly | Counselor | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2019-01-02 |
| 1134691975 | Inspire Services, LLC | Clinic/Center | 100 Oak Ave Sw, Montgomery, MN 56069-1243 | 2018-12-18 |
| 1326110388 | Mark Allen Brahs | Dentist | 110 1st St N, Montgomery, MN 56069-1514 | 2006-11-14 |
| 1265086011 | Gabriel Alberto De Los Rios | Dentist | 110 1st St N, Montgomery, MN 56069-1514 | 2019-07-30 |
| Find all providers in zip 56069 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407416670 | T Blenden Counseling and Consulting | Clinic/Center | 15018 Walden Rd, Montgomery, TX 77356-8565 | 2019-06-19 |
| 1659727667 | Cure-tex Clinic | Clinic/Center | 321 Bayshore Dr, Montgomery, TX 77356-4738 | 2016-05-09 |
| 1164890216 | King Chiropractic Inc | Clinic/Center | 2900 Zelda Rd Ste A, Montgomery, AL 36106-2608 | 2015-09-07 |
| 1053545087 | Continetal Holdings | Clinic/Center | 2921 Marti Ln Ste 7, Montgomery, AL 36116-3120 | 2009-05-05 |
| 1528231388 | Prairie Creek Clinic | Clinic/Center | Rr 1 Box 216, Montgomery, IN 47558-9733 | 2008-04-11 |
| 1568560696 | Kidney Counselor,llc | Clinic/Center | 4163 Lomac St, Montgomery, AL 36106-2881 | 2006-09-20 |
| 1972518736 | Advanced Orthopedic Surgical Specialists | Clinic/Center | 1329 Mulberry St, Montgomery, AL 36106-1132 | 2006-07-30 |
| 1164910543 | Dalraida Clinic | Clinic/Center | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2018-05-01 |
| 1720527997 | Wilnadia Rawls | Clinic/Center | 34 Taylor Rd N, Montgomery, AL 36117-6753 | 2017-02-21 |
| 1093068900 | Stewart H Tankersley, Md, LLC | Clinic/Center | 1758 Park Pl, Suite 200, Montgomery, AL 36106-1127 | 2012-10-17 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 56069 |
Please comment or provide details below to improve the information on DR. GEOFFREY A. IVERSON, D.D.S., LTD..
| 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.