NPIMap

Organization Active NPI

Gary C Van Hofwegen DDS PC

Doing business as VanHofwegen Family Dentistry

  • General Practice Dentistry
  • Spencer, IA
National Provider Identifier
1588743678
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GARY C VAN HOFWEGEN DDS PC
Doing business as
VanHofwegen Family Dentistry
Practice address
18 W 4TH St
Spencer, IA 51301-4013
Phone
(712) 262-4751
Fax
(712) 262-7278
NPI assigned
Nov 2, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Rita Hessenius
Title
Front Office
Phone
(712) 262-4751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

18 W 4TH St
Spencer, IA 51301-4013

Mailing address

18 W 4TH St
P.O. Box 224
Spencer, IA 51301-4013
Phone (712) 262-4751

Other names 1

  • VanHofwegen Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gary C Van Hofwegen DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18 W 4th St
Spencer, IA 51301
Phone (712) 262-4751

Practitioners & affiliated clinicians

Practitioners 4

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1588743678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W 4TH ST",
            "address_2": "P.O. BOX 224",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014013",
            "telephone_number": "712-262-4751",
            "fax_number": "712-262-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W 4TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014013",
            "telephone_number": "712-262-4751",
            "fax_number": "712-262-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY C VAN HOFWEGEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HESSENIUS",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "712-262-4751"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VanHofwegen Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.