Kristine J Medin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7574 Issued in IA

Practice address

222 Edgewood Rd NW
Cedar Rapids, IA 52405-4472

Phone

(319) 365-6242

Fax

(319) 365-1877

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Louisville Dental Prof. LLP

  • General Practice Dentistry
  • Louisville, CO
  • NPI 1013256874
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1659580306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025407",
            "telephone_number": "303-442-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 EDGEWOOD RD NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054472",
            "telephone_number": "319-365-6242",
            "fax_number": "319-365-1877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "994 W Dillon Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800278404",
            "country_code": "US",
            "telephone_number": "303-673-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDIN",
        "first_name": "KRISTINE",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105577",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Mecham
• Med Trans Logistics LLC
• Med-Trans Corporation
• Medical Laboratories of Eastern Iowa
• Medical Laboratories of Eastern Iowa LC
• Stephanie Marie Meeker, MSW, LISW, CADC
• Leeanne Mehring-Cruz
• Tamara J Meier, NP
• Raeann Meling
• Melissa Genreau LMHC PLLC

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, 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 Apr 1, 2026; 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.