Active NPI
Kevin C Tseng, DDS,MS,PHD
- Prosthodontics
- Iowa City, IA
National Provider Identifier
1215100144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 40172
- Practice address
- 413 Dental Science BLDG S
Iowa City, IA 52242-1001 - Phone
- (319) 335-7275
- NPI assigned
- Apr 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 40172 | IA | Primary |
| Prosthodontics | 1223P0700X | 046793-1 | NY | |
| Prosthodontics | 1223P0700X | 019.26023 | IL | |
| Prosthodontics | 1223P0700X | 58605 | CA |
Addresses
Primary practice location
413 Dental Science BLDG S
Iowa City, IA 52242-1001
Mailing address
322 Dental Science BLDG S
Iowa City, IA 52242-1001
Phone (319) 335-7440
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.26023 | IL | MD | Prosthodontist |
| 046793-1 | NY | MD | Prosthodontist |
| 40172 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients |
Locations
322 Dental Science S
Iowa City, IA 52242
Phone (319) 335-7342
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
322 Dental Science S
Bldg S
Iowa City, IA 52242
Phone (319) 384-1139
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Dentist
- Iowa City, IA
- NPI 1609956234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1215100144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 DENTAL SCIENCE BLDG S",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421001",
"telephone_number": "319-335-7440",
"fax_number": "319-335-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 DENTAL SCIENCE BLDG S",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421001",
"telephone_number": "319-335-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSENG",
"first_name": "KEVIN",
"middle_name": "C",
"credential": "DDS,MS,PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-11",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IA",
"license": "40172",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "046793-1",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IL",
"license": "019.26023",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "58605",
"primary": false
}
],
"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 Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.