Individual provider Active NPI

Thomas Robert Schierbrock, DDS

  • General Practice Dentistry
  • Council Bluffs, IA
National Provider Identifier
1124018106
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6291 Issued in IA
Practice address
427 E Kanesville Blvd
Ste 200
Council Bluffs, IA 51503-4403
Phone
(712) 322-5318
Fax
(712) 329-6128
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 6291 IA Primary

Addresses

Primary practice location

427 E Kanesville Blvd
Ste 200
Council Bluffs, IA 51503-4403

Mailing address

427 E Kanesville Blvd
Ste 200
Council Bluffs, IA 51503-4403
Phone (712) 322-5318

Other identifiers 1

IdentifierTypeStateIssuer
0150821MedicaidIA

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
6291IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas R Schierbrock DDS Andrea L Cordenzana DDS PLC Past Accepting new patients

Organizations & group practices 1

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124018106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD",
            "address_2": "STE 200",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034403",
            "telephone_number": "712-322-5318",
            "fax_number": "712-329-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E KANESVILLE BLVD",
            "address_2": "STE 200",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034403",
            "telephone_number": "712-322-5318",
            "fax_number": "712-329-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIERBROCK",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150821",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.