Kimberly Marie Truka, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7636 Issued in IA

Practice address

415 E Coolbaugh St
Red Oak, IA 51566-2319

Phone

(712) 623-3383

Fax

(712) 623-3585

NPI assigned

Feb 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Montgomery County Memorial Hospital

  • Internal Medicine Physician
  • Red Oak, IA
  • NPI 1265405310
  Medicare reassignment NPD
• Montgomery County Memorial Hospital

  • Critical Access Hospital
  • Red Oak, IA
  • NPI 1376539338
  Medicare reassignment NPD
• Dental Care, PC

  • General Practice Dentistry
  • Red Oak, IA
  • NPI 1316088396
  NPD (past) Authorized official
• Montgomery County Memorial Hospital

  • Community/Retail Pharmacy
  • Red Oak, IA
  • NPI 1699887547
  NPD

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386785350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 US HIGHWAY 34",
            "city": "STANTON",
            "state": "IA",
            "postal_code": "515734106",
            "telephone_number": "712-829-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E COOLBAUGH ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515662319",
            "telephone_number": "712-623-3383",
            "fax_number": "712-623-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUKA",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1097295",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swfac PLC
• The Evangelical Lutheran Good Samaritan Society
• Jennifer Marie Thomason, TRADITIONAL MIDWIFE
• Ashley Tingle
• John Richard Trinity, MD
• Uplift Family Dentistry LLC
• Julie Urban, OTR L
• Urology Center, PC
• Leonardine Anne Utecht Mueller
• Terra Vandermeulen, APRN

• General Practice Dentistry in Red Oak, IA
• Providers in Red Oak, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.