Individual provider Active NPI

Kobi Voshell, DDS

  • General Practice Dentistry
  • Iowa City, IA
National Provider Identifier
1356073936
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09994 Issued in IA
Practice address
2346 Mormon Trek Blvd Ste 2600
Iowa City, IA 52246-4368
Phone
(319) 339-4456
Fax
(319) 339-4463
NPI assigned
Jun 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-09994 IA Primary

Addresses

Primary practice location

2346 Mormon Trek Blvd Ste 2600
Iowa City, IA 52246-4368

Mailing address

2346 Mormon Trek Blvd Ste 2600
Iowa City, IA 52246-4368
Phone (319) 339-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS-09994IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Creek Family Dentistry CurrentSince Jul 17, 2022 Accepting new patients

Locations

2346 Mormon Trek Blvd
Ste 2600
Iowa City, IA 52246
Phone (319) 339-4456

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1356073936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 MORMON TREK BLVD STE 2600",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464368",
            "telephone_number": "319-339-4456",
            "fax_number": "319-339-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 MORMON TREK BLVD STE 2600",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464368",
            "telephone_number": "319-339-4456",
            "fax_number": "319-339-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSHELL",
        "first_name": "KOBI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09994",
            "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 Jun 30, 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.