Todd M Juhlin, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

07712 Issued in IA

Practice address

2814 Northgate Drive
Suite 2
Iowa City, IA 52245

Phone

(641) 424-1656

Fax

(641) 424-2219

NPI assigned

Jul 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 18, 2015 through Sep 18, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Todd M. Juhlin D.D.S., P.C.

  dba Red Rocks Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Littleton, CO
  • NPI 1003250382
  NPD (past) Authorized official
• Oral Surgery Assoc of Iowa City PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Iowa City, IA
  • NPI 1215034889
  NPD (past)
• David R Bundy DDS

  dba Red Rocks Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Littleton, CO
  • NPI 1699150128
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1033134358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 NORTHGATE DRIVE",
            "address_2": "SUITE 2",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "641-424-1656",
            "fax_number": "641-424-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 NORTHGATE DRIVE",
            "address_2": "SUITE 2",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "641-424-1656",
            "fax_number": "641-424-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHLIN",
        "first_name": "TODD",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "07712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184226",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gorbachev Jowah, MD
• Susan Joy, ARNP
• Patrick Dennis Judd
• Allison Judge, FNP
• Pat Jufer-Flake, RDH
• Satoshi Jujo, MD
• Julia Foster Therapy Services LLC
• Julian and Associates Psychotherapy Services
• Linda Jung, MD
• Susan Marie Junis, LISW

• Oral and Maxillofacial Surgery (Dentist) in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.