Rodney Allen Messner, DMD

Individual provider Active NPI General Practice Dentistry · Cedar Rapids, IA

NPI 1043399538 · NPPES record last updated Jan 2, 2025

Key facts

NPI
1043399538
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DDS-10133 (IA)
Practice address
4250 Glass Rd NE Ste 220
Cedar Rapids, IA 52402-2500
Phone
(319) 395-7207
Fax
(319) 395-0143
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DDS-10133IAMDDentist
5971WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Applewhite Dental Iowa PC Dentist Past
since Jan 5, 2025
Accepting new patients
Dental Associates LTD of Wisconsin General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS-10133 IA
General Practice Dentistry 1223G0001X 5971 WI
General Practice Dentistry 1223G0001X DDS-10133 IA Yes

Addresses

Primary practice location

4250 Glass Rd NE Ste 220
Cedar Rapids, IA 52402-2500

Mailing address

4250 Glass Rd NE Ste 220
Cedar Rapids, IA 52402-2500
Phone (319) 395-7207

Other identifiers

IdentifierTypeStateIssuer
33802600MedicaidWI
0419963MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 2, 2025.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1043399538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 GLASS RD NE STE 220",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022500",
            "telephone_number": "319-395-7207",
            "fax_number": "319-395-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 GLASS RD NE STE 220",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022500",
            "telephone_number": "319-395-7207",
            "fax_number": "319-395-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSNER",
        "first_name": "RODNEY",
        "middle_name": "ALLEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-10133",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5971",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33802600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419963",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

All providers in Cedar Rapids, IA · General Practice Dentistry in Iowa

Sources for this page

Verify at the official NPI Registry.