Edward A Dykstra, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

21101 Issued in IA

Practice address

2751 Northgate Dr
Iowa City, IA 52245-9509

Phone

(319) 338-3606

Fax

(319) 338-0522

NPI assigned

Feb 23, 2006

Last updated

Oct 23, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1194791806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459509",
            "telephone_number": "319-338-3606",
            "fax_number": "319-338-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459509",
            "telephone_number": "319-338-3606",
            "fax_number": "319-338-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "21101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IA",
            "identifier": "15010",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1150102",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nitsan Duvdevan Strier, MD
• Ruthwik Duvuru, MD
• Lori Ann Dvorak, RRT
• Rachel Dyke
• Mark E Dyken, MD
• Aaron Dyson
• Tess Elisabeth Dyson, PHARMD
• Angelika Dzieza, DMD
• Abey Eapen, MBBS
• Judith K Earley, MFT

• Orthopaedic Surgery Physician in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.