Breanne Mumm-Reed

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09318 Issued in IA

Practice address

55 State St
Garner, IA 50438-1108

Phone

(641) 923-3771

NPI assigned

Jul 18, 2016

Last updated

Jul 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 1, 2018 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• DRS. Tesene, Maurer and Maurer,DDS, PC

  • General Practice Dentistry
  • Garner, IA
  • NPI 1487687919
  NPD (past)

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1760835474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STATE ST",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504381108",
            "telephone_number": "641-923-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 STATE ST",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504381108",
            "telephone_number": "641-923-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMM-REED",
        "first_name": "BREANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Mae Losee, DO
• Amy R Maurer, DDS
• Matthew M Maurer, DDS
• Samuel Memmelaar, DPM
• Mary Moats-Biechler, DO
• North Iowa Chiropractic & Acupuncture PC
• Haley Olson, OD
• One Vision
• Physia, PLLC
• Tara Ann Rochleau

• General Practice Dentistry in Garner, IA
• Providers in Garner, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.