Individual provider Active NPI

Amy Nicole Gallagher Link, D.D.S.

  • General Practice Dentistry
  • Cedar Rapids, IA
National Provider Identifier
1386709772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08330 Issued in IA
Practice address
126 2ND St NE
Cedar Rapids, IA 52401-1103
Phone
(319) 366-8095
Fax
(319) 366-4542
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 08330 IA Primary

Addresses

Primary practice location

126 2ND St NE
Cedar Rapids, IA 52401-1103

Mailing address

126 2ND St NE
Cedar Rapids, IA 52401-1103
Phone (319) 366-8095

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114002715 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325341985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08330IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher M Tyler DDS PC General Practice Past Accepting new patients

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386709772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 2ND ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011103",
            "telephone_number": "319-366-8095",
            "fax_number": "319-366-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 2ND ST NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011103",
            "telephone_number": "319-366-8095",
            "fax_number": "319-366-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "AMY",
        "middle_name": "NICOLE GALLAGHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.