Individual provider Active NPI

Daniel F. Wernimont, DDS

  • General Practice Dentistry
  • Pocahontas, IA
National Provider Identifier
1710058250
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
06658 Issued in IA
Practice address
102 3Rd Ave NW
Pocahontas, IA 50574-1602
Phone
(712) 335-4132
Fax
(712) 335-4579
NPI assigned
Nov 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 06658 IA Primary

Addresses

Primary practice location

102 3Rd Ave NW
Pocahontas, IA 50574-1602

Mailing address

102 3Rd Ave NW
Pocahontas, IA 50574-1602
Phone (712) 335-4132

Other identifiers 1

IdentifierTypeStateIssuer
0185249MedicaidIA

Other names 1

  • Dr. Daniel F. Wernimont Other name

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
06658IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710058250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 3RD AVE NW",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741602",
            "telephone_number": "712-335-4132",
            "fax_number": "712-335-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 3RD AVE NW",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741602",
            "telephone_number": "712-335-4132",
            "fax_number": "712-335-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNIMONT",
        "first_name": "DANIEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185249",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "WERNIMONT",
            "middle_name": "F.",
            "prefix": "DR.",
            "credential": "DDS. PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pocahontas, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.