Individual provider Active NPI

Renee L. Husen, D.D.S.

  • General Practice Dentistry
  • Sergeant Bluff, IA
National Provider Identifier
1164465779
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08345 Issued in IA
Practice address
703 First St.
Sergeant Bluff, IA 51054
Phone
(712) 943-4242
Fax
(712) 943-4243
NPI assigned
Jun 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
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 08345 IA Primary

Addresses

Primary practice location

703 First St.
Sergeant Bluff, IA 51054

Mailing address

703 1St St.
Sergeant Bluff, IA 51054
Phone (712) 943-4242

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520000553 IA Order and Referring Only - Other (Non-Physician) 1153641816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164465779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 1ST ST.",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "51054",
            "telephone_number": "712-943-4242",
            "fax_number": "712-943-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 FIRST ST.",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "51054",
            "telephone_number": "712-943-4242",
            "fax_number": "712-943-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEN",
        "first_name": "RENEE",
        "middle_name": "L.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sergeant Bluff, IA

Sources for this page

Verify at the official NPI Registry.