Oral Surgery Assoc of Iowa City PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY ASSOC OF IOWA CITY PC

Practice address

2814 Northgate Dr
Suite 2
Iowa City, IA 52245

Phone

(319) 338-5484

Fax

(319) 338-9413

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Charles Hartwig, DDS PHD

Title

Owner

Phone

(319) 338-5484

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Kelsey Dierikx, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Iowa City, IA
  • NPI 1740745728
  NPD
• Todd M Juhlin, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Iowa City, IA
  • NPI 1033134358
  NPD (past)
• Edward Lawrence Lorson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Iowa City, IA
  • NPI 1225044670
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1215034889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 NORTHGATE DR",
            "address_2": "SUITE 2",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459568",
            "telephone_number": "319-338-5484",
            "fax_number": "319-338-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 NORTHGATE DR",
            "address_2": "SUITE 2",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-338-5484",
            "fax_number": "319-338-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOC OF IOWA CITY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "HARTWIG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-338-5484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PHD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Onken, M.D.
• Opco Iowa City, Ia, LLC
• Nicole Elizabeth Opp
• Sandra Oppong-Twum, MBCHB
• Millicent Villafranca Oracion, ARNP
• Bryant Orlando
• Breanne M Orr, ARNP
• Leslie Orr, RRT
• Santiago Ortega Gutierrez, MD
• Samuel Orvis, MD

• Oral and Maxillofacial Surgery (Dentist) in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.