Judith G. Demro, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6968 Issued in IA

Practice address

655 S Illinois Ave
Mason City, IA 50401-5405

Phone

(641) 424-3375

Fax

(641) 422-0163

NPI assigned

Feb 10, 2006

Last updated

Dec 5, 2011By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Judith G. Demro, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mason City, IA
  • NPI 1265699607
  NPD (past) Authorized official

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1487627204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S ILLINOIS AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015405",
            "telephone_number": "641-424-3375",
            "fax_number": "641-422-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S ILLINOIS AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015405",
            "telephone_number": "641-424-3375",
            "fax_number": "641-422-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMRO",
        "first_name": "JUDITH",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "6968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IA",
            "identifier": "861958",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE DENTAL PROGRAM",
            "identifier": "861958",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Day, RN
• Fnu Dayawa Da Agoons, MD
• Charles A Debrah, MD
• Michael J. Del Rio, M.D.
• Thomas P Delaney, MD
• April Dendy
• Dental Center of North Iowa LC
• Tanvi Deshpande, MD
• Ann Determan, LPN
• Timothy Dettmer, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Mason City, IA
• Providers in Mason City, IA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.