NPIMap

Organization Active NPI

Oral Surgery Assoc of Iowa City PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Iowa City, IA
National Provider Identifier
1215034889
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Dr. Andrew Charles Hartwig, DDS PHDNPI 1992712350
Title
Owner
Phone
(319) 338-5484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X IA Primary

Addresses

Primary practice location

2814 Northgate Dr
Suite 2
Iowa City, IA 52245

Mailing address

2814 Northgate Dr
Suite 2
Iowa City, IA 52245-9568
Phone (319) 338-5484

National Provider Directory

National Provider Directory

Locations

2814 Northgate Dr
Ste 2
Iowa City, IA 52245
Phone (319) 335-5484

1804 E Washington St
Mt Pleasant, IA 52641
Phone (319) 385-5266

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Iowa City, IA

Sources for this page

  • 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.