NPIMap

Organization Active NPI

Melrose Dental Office P.L.C.

  • Dentist
  • Iowa City, IA
National Provider Identifier
1497825954
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MELROSE DENTAL OFFICE P.L.C.
Practice address
1000 Melrose Ave
Iowa City, IA 52246-1924
Phone
(319) 338-6896
Fax
(319) 338-9985
NPI assigned
Nov 9, 2006
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Dr. Shawn Steven Hedlund, DDSNPI 1699814251
Title
Owner Partner
Phone
(319) 338-6896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

1000 Melrose Ave
Iowa City, IA 52246-1924

Mailing address

1000 Melrose Ave
Iowa City, IA 52246-1924
Phone (319) 338-6896

National Provider Directory

National Provider Directory

Locations

1000 Melrose Ave
Iowa City, IA 52246
Phone (319) 338-6896

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1497825954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MELROSE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522461924",
            "telephone_number": "319-338-6896",
            "fax_number": "319-338-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MELROSE AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522461924",
            "telephone_number": "319-338-6896",
            "fax_number": "319-338-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE DENTAL OFFICE P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "HEDLUND",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "319-338-6896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Apr 28, 2009; 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.