Individual provider Active NPI

Laura Elizabeth Giese, DDS

  • Dentist
  • Sergeant Bluff, IA
National Provider Identifier
1760620397
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08538 Issued in IA
Practice address
104 Port Neal Rd
Sergeant Bluff, IA 51054-8097
Phone
(712) 943-4746
NPI assigned
Feb 4, 2009
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08538 IA Primary

Addresses

Primary practice location

104 Port Neal Rd
Sergeant Bluff, IA 51054-8097

Mailing address

104 Port Neal Rd
Sergeant Bluff, IA 51054-8097
Phone (712) 943-4746

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
I20160510001568 IA Order and Referring Only - DentistPractitioner - Dentist 6406145747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08538IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sergeant Bluff Smiles 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, 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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1760620397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PORT NEAL RD",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510548097",
            "telephone_number": "712-943-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PORT NEAL RD",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510548097",
            "telephone_number": "712-943-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESE",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sergeant Bluff, IA

Sources for this page

Verify at the official NPI Registry.