Individual provider Active NPI

John Biegert, DDS

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1720465651
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09202 Issued in IA
Practice address
4119 SW 9TH St
Des Moines, IA 50315-3466
Phone
(515) 281-0700
NPI assigned
Apr 29, 2015
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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-09202 IA Primary

Addresses

Primary practice location

4119 SW 9TH St
Des Moines, IA 50315-3466

Mailing address

3709 149TH St
Urbandale, IA 50323-1611
Phone (515) 639-1770

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
I20170126000906 IA Order and Referring Only - DentistPractitioner - Dentist 8628350659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS-09202IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates 2 General Practice CurrentSince Nov 15, 2020 Accepting new patients
Davidson Family Dentistry, LLC Past Accepting new patients
Mark J Hillman DDS General Practice PastSince Nov 15, 2020 Accepting new patients
Davidson Family Dentistry General Practice Past Accepting new patients

Locations

4119 SW 9th St
Des Moines, IA 50315
Phone (515) 281-0700

3700 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 225-6742

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1720465651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 149TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503231611",
            "telephone_number": "515-639-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153466",
            "telephone_number": "515-281-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEGERT",
        "first_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.