Derek Steven Borgwardt, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

08578 Issued in IA

Practice address

801 Newton Road
University of Iowa
Iowa City, IA 52242-1001

Phone

(319) 335-7238

Fax

(319) 335-7239

NPI assigned

Sep 12, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1013166289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LINCOLN AVE APT 12",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522462213",
            "telephone_number": "563-357-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NEWTON ROAD",
            "address_2": "UNIVERSITY OF IOWA",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421001",
            "telephone_number": "319-335-7238",
            "fax_number": "319-335-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGWARDT",
        "first_name": "DEREK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": "08578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Simon Bor, MD
• Amrut Borade, MBBS, MS
• Luis Cesar Borbon, MD
• Kaley Samantha Boress, PHD
• Gisela Lilian Borget, D.D.S.
• Kayla Jeanne Borja Frost, ED.M.
• Rebecca Erin Borkovec, O.D.
• Susan Bormann
• Carolyn Jil Storch Bornbach, MD
• Kari Anne Borowski, MD

• Periodontics in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Periodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.