Active NPI
Gerald D. Monserud, D.D.S.
- Dentist
- West Branch, IA
National Provider Identifier
1073520730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6571
- Practice address
- 418 E Main St
West Branch, IA 52358-9706 - Phone
- (319) 643-7170
- NPI assigned
- Aug 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6571 | IA | Primary |
Addresses
Primary practice location
418 E Main St
West Branch, IA 52358-9706
Mailing address
418 E. Main St.
West Branch, IA 52358
Phone (319) 643-7170
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6571 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073520730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 E. MAIN ST.",
"city": "WEST BRANCH",
"state": "IA",
"postal_code": "52358",
"telephone_number": "319-643-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 E MAIN ST",
"city": "WEST BRANCH",
"state": "IA",
"postal_code": "523589706",
"telephone_number": "319-643-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSERUD",
"first_name": "GERALD",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "6571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Branch, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.