NPIMap

Organization Active NPI

St Luke's Methodist Hospital

  • Dental Clinic/Center
  • Cedar Rapids, IA
National Provider Identifier
1306589411
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ST LUKE'S METHODIST HOSPITAL
Practice address
855 A Ave NE Ste LL1
Cedar Rapids, IA 52402-5064
Phone
(319) 369-7730
NPI assigned
Apr 16, 2022
Last updated
Apr 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKE'S METHODIST HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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

Authorized official

Name
Michelle Niermann
Title
President/Ceo
Phone
(319) 369-7203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

855 A Ave NE Ste LL1
Cedar Rapids, IA 52402-5064

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5074
Phone (319) 369-7121

Other names 1

  • St. Luke's Hospital Dental Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
St Lukes ER Dept Phy17 organizations share this tax ID, including this one
Part of
St Lukes ER Dept Phy

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 3

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": "1650067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650067200000",
    "number": "1306589411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025074",
            "telephone_number": "319-369-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE LL1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025064",
            "telephone_number": "319-369-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S METHODIST HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKE'S METHODIST HOSPITAL",
        "enumeration_date": "2022-04-16",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A",
        "authorized_official_last_name": "NIERMANN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "319-369-7203"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Hospital Dental Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; 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.