Active NPI
Deepika Jaiswal, DDS, MDS
- Oral and Maxillofacial Surgery (Dentist)
- Coralville, IA
National Provider Identifier
1154009744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10147
- Practice address
- 2441 Coral CT Ste 2
Coralville, IA 52241-2872 - Phone
- (319) 337-2599
- NPI assigned
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-10147 | IA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10147 | IA | Primary |
| Orofacial Pain Dentistry | 1223X2210X | 10147 | IA |
Addresses
Primary practice location
2441 Coral CT Ste 2
Coralville, IA 52241-2872
Mailing address
2441 Coral CT Ste 2
Coralville, IA 52241-2872
Phone (319) 337-2599
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2441 Coral CT
Suite 2
Coralville, IA 52241-2872
Phone (319) 337-2599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10147 | IA | MD | Orofacial Pain Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrance P Riley DDS PC | Dentist | Current | Accepting new patients |
| Care Dental PLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
2441 Coral Ct
Ste 2
Iowa City, IA 52241
Phone (319) 337-2599
Organizations & group practices 2
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.
-
- Orofacial Pain Dentistry
- Coralville, IA
- NPI 1366273161
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Davenport, IA
- NPI 1841300688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1154009744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 CORAL CT STE 2",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412872",
"telephone_number": "319-337-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 CORAL CT STE 2",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412872",
"telephone_number": "319-337-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAISWAL",
"first_name": "DEEPIKA",
"name_prefix": "Dr.",
"credential": "DDS, MDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-05",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-10147",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IA",
"license": "10147",
"primary": true
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "IA",
"license": "10147",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.