Individual provider Active NPI

Howard Mark Trunnell, DDS

  • General Practice Dentistry
  • Cedar Falls, IA
National Provider Identifier
1679615041
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6208 Issued in IA
Practice address
3722 Cedar Heights Dr
Cedar Falls, IA 50613-6207
Phone
(319) 266-7559
Fax
(319) 277-5140
NPI assigned
Feb 13, 2007
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 06208 IA
General Practice Dentistry 1223G0001X 6208 IA Primary

Addresses

Primary practice location

3722 Cedar Heights Dr
Cedar Falls, IA 50613-6207

Mailing address

922 Rainbow Dr
Cedar Falls, IA 50613-6500
Phone (319) 266-7559

Other practice location 1

105 20th St NW
Waverly, IA 50677-2059
Phone (319) 352-4488

Other identifiers 2

IdentifierTypeStateIssuer
0143206MedicaidIA
1679615041MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://app.sfaxme.com/default.aspx Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06208IAMDGeneral Practice Dentistry
6208IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Dental Associates PC General Practice PastSince Dec 22, 2019 Accepting new patients
BT Sleep LLC Past Accepting new patients
BT Sleep LLC Past Accepting new patients
Cedar Valley Dental Associates PC General Practice PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1679615041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 RAINBOW DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136500",
            "telephone_number": "319-266-7559",
            "fax_number": "319-277-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 CEDAR HEIGHTS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136207",
            "telephone_number": "319-266-7559",
            "fax_number": "319-277-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 20th St NW",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "IA",
            "postal_code": "506772059",
            "country_code": "US",
            "telephone_number": "319-352-4488",
            "fax_number": "844-790-8096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUNNELL",
        "first_name": "HOWARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06208",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143206",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679615041",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.sfaxme.com/default.aspx",
            "affiliation": "N",
            "endpointDescription": "Secure fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "3722 Cedar Heights Dr",
            "city": "Cedar Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506136207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.