Individual provider Active NPI

Andrew Yowell, DDS

  • General Practice Dentistry
  • Iowa City, IA
National Provider Identifier
1013759604
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-10230 Issued in IA
Practice address
2109 Rochester Ave
Iowa City, IA 52245-3528
Phone
(319) 338-0707
NPI assigned
Jun 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-10230 IA Primary

Addresses

Primary practice location

2109 Rochester Ave
Iowa City, IA 52245-3528

Mailing address

2867 Hickory TRL
Iowa City, IA 52245-3538
Phone (319) 321-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS-10230IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn D Yowell DDS PC CurrentSince Sep 8, 2024 Accepting new patients
Iowa City Dental Holding Company PLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

2109 Rochester Ave
Iowa City, IA 52245
Phone (319) 321-0100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1013759604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 HICKORY TRL",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453538",
            "telephone_number": "319-321-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 ROCHESTER AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453528",
            "telephone_number": "319-338-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOWELL",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.