Daniel David Hiserote Jr., D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS-09048 Issued in IA

Practice address

1629 1St Ave SW
Sioux Center, IA 51250-1120

Phone

(712) 722-3216

Fax

(712) 722-3218

NPI assigned

Aug 15, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1134552995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 1ST AVE SW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501120",
            "telephone_number": "712-722-3216",
            "fax_number": "712-722-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 1ST AVE SW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501120",
            "telephone_number": "712-722-3216",
            "fax_number": "712-722-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISEROTE",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "DDS-09048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Herman, P.T.
• Chasady Hernandez
• Sarah Hietbrink, ARNP
• Hinsch Health & Wellness PLLC
• Kelli Kristine Hinsch, DNP
• Kaitlin Joy Hoogeveen, DDS
• Anne P Hooyer, ARNP
• Payton Lynn Hostetler, BCBA
• Graham Howerzyl, DDS
• Tonya R Huenink, RDN, LD

• All providers in Sioux Center, IA
• Endodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.