Matthew Evan Zwart, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08915 Issued in IA

Practice address

123 Albany Ave SE
Orange City, IA 51041-1715

Phone

(712) 737-3521

Fax

(712) 737-4891

NPI assigned

Jul 6, 2012

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zwart Dental Professional Corporation

  • General Practice Dentistry
  • Orange City, IA
  • NPI 1124941190
  Authorized official Same address or phone

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1144585076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ALBANY AVE SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411715",
            "telephone_number": "712-737-3521",
            "fax_number": "712-737-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ALBANY AVE SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411715",
            "telephone_number": "712-737-3521",
            "fax_number": "712-737-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWART",
        "first_name": "MATTHEW",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704626",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Wise, PTA
• Colleen Marie Wurm King, RD
• Deon J Wynia, M.A., LMHC
• Zwart Dental Professional Corporation
• Bradley Zwart

• General Practice Dentistry in Orange City, IA
• Providers in Orange City, 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 Feb 24, 2014; 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.