NPIMap

Organization Active NPI

Hermanson Orthodontics P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marshalltown, IA
National Provider Identifier
1215006747
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
7942 Issued in IA
Legal business name
HERMANSON ORTHODONTICS P.C.
Practice address
233 N 13TH St
Marshalltown, IA 50158-5411
Phone
(641) 752-6458
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Authorized official

Name
John Hermanson, D.D.S.NPI 1346628104
Title
Orthodontist
Phone
(641) 752-6458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 7942 IA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 5771 IA

Addresses

Primary practice location

233 N 13TH St
Marshalltown, IA 50158-5411

Mailing address

233 N 13TH St
Marshalltown, IA 50158-5411
Phone (641) 752-6458

Other identifiers 1

IdentifierTypeStateIssuer
0097741MedicaidIA

National Provider Directory

National Provider Directory

Locations

233 N 13th St
Marshalltown, IA 50158
Phone (641) 752-6458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1215006747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N 13TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585411",
            "telephone_number": "641-752-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N 13TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585411",
            "telephone_number": "641-752-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMANSON ORTHODONTICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "HERMANSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "641-752-6458",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "7942",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "5771",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097741",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.