Individual provider Active NPI

Amanda Marie Vonnahme

  • General Practice Dentistry
  • Iowa City, IA
National Provider Identifier
1750594446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08426 Issued in IA
Practice address
1950 Lower Muscatine Rd
Iowa City, IA 52240
Phone
(319) 337-6226
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

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 08426 IA Primary

Addresses

Primary practice location

1950 Lower Muscatine Rd
Iowa City, IA 52240

Mailing address

895 Karisa Lane
North Liberty, IA 52317

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
I20170126000735 IA Order and Referring Only - DentistPractitioner - Dentist 5193036184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08426IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Applewhite Dental Iowa PC General Practice Past Accepting new patients
Davidson Family Dentistry, LLC Past Accepting new patients
Davidson Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750594446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 KARISA LANE",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "52317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LOWER MUSCATINE RD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-337-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONNAHME",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.