Gary Vanhofwegen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06343 Issued in IA

Practice address

18 West 4TH St
Spencer, IA 51301

Phone

(712) 262-4751

Fax

(712) 262-7278

NPI assigned

Nov 3, 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 6

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 Jan 19, 2015 through Jan 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Gary C Van Hofwegen DDS PC

  • General Practice Dentistry
  • Spencer, IA
  • NPI 1588743678
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073692661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WEST 4TH ST",
            "address_2": "PO BOX 224",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "51301",
            "telephone_number": "712-262-4751",
            "fax_number": "712-262-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WEST 4TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "51301",
            "telephone_number": "712-262-4751",
            "fax_number": "712-262-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOFWEGEN",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KS",
            "identifier": "413707",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "869122",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150375",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TN",
            "identifier": "3144570",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IA",
            "identifier": "17805",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NJ",
            "identifier": "06343",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Van Dam, LMHC
• Carla May Van Holsteijn, RD/LD
• Linda Dianne Van-Putten, CADC
• Kayla Vanderhoff
• Doug Vanhofwegen, DDS
• Andrew L Vanommeren, B.A.
• Megan M Vanotterloo, MSN, ARNP, FNP-C
• John Arthur Vaubel, M.D.
• Genelle Vermeer, CADC
• Ruth E Vetter, OTR/L

• General Practice Dentistry in Spencer, IA
• Providers in Spencer, IA by specialty
• General Practice Dentistry in Iowa

• 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.
• 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.