Individual provider Active NPI

Adam G Shroyer, DDS

  • General Practice Dentistry
  • Mt Pleasant, IA
National Provider Identifier
1699156836
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09206 Issued in IA
Practice address
217 E Monroe St
Mt Pleasant, IA 52641-1975
Phone
(319) 385-4680
NPI assigned
Jun 12, 2015
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-09206 IA Primary

Addresses

Primary practice location

217 E Monroe St
Mt Pleasant, IA 52641-1975

Mailing address

705 E Monroe St
Mt Pleasant, IA 52641-1928
Phone (319) 333-5394

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150812006266 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2860707494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Shroyer DDS, P.C. CurrentSince Jun 12, 2022 Accepting new patients
Richard D. Tallon, DDS, PC General Practice Past Accepting new patients
Applewhite Dental Iowa PC Dentist PastSince Jan 1, 2021 Accepting new patients
Skaggs Community Health Center and Clinics Past Accepting new patients
Applewhite Dental Iowa PC Dentist PastSince Jan 1, 2021 Accepting new patients
Iris Dental PC General Practice PastSince Jul 10, 2022 Accepting new patients

Locations

217 E Monroe St
Mt Pleasant, IA 52641
Phone (319) 385-4680

Organizations & group practices 6

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1699156836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MONROE ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411928",
            "telephone_number": "319-333-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MONROE ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526411975",
            "telephone_number": "319-385-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "ADAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

Verify at the official NPI Registry.