Individual provider Active NPI

Joseph Edward Demarco, D.D.S.

  • General Practice Dentistry
  • Windsor Heights, IA
National Provider Identifier
1720172679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7667 Issued in IA
Practice address
974 73Rd St
Suite 37
Windsor Heights, IA 50312-1024
Phone
(515) 282-0973
Fax
(515) 288-5552
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 7667 IA Primary

Addresses

Primary practice location

974 73Rd St
Suite 37
Windsor Heights, IA 50312-1024

Mailing address

974 73Rd St
Suite 37
Windsor Heights, IA 50312-1024
Phone (515) 282-0973

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
I20160629001088 IA Order and Referring Only - DentistPractitioner - Dentist 9234420803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7667IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Demarco Dental Practice,P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720172679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "address_2": "SUITE 37",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503121024",
            "telephone_number": "515-282-0973",
            "fax_number": "515-288-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "address_2": "SUITE 37",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503121024",
            "telephone_number": "515-282-0973",
            "fax_number": "515-288-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

Verify at the official NPI Registry.