Individual provider Active NPI

Deepika Jaiswal, DDS, MDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Coralville, IA
National Provider Identifier
1154009744
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10147 Issued in IA
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

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216003395 IA Practitioner - Oral Surgery 3971039868 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
10147IAMDOrofacial Pain Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Terrance P Riley DDS PC Dentist CurrentSince Aug 18, 2024 Accepting new patients
Care Dental PLC Oral and Maxillofacial Surgery CurrentSince Aug 1, 2024 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.

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

Verify at the official NPI Registry.