Active NPI
Pat Jufer-Flake, RDH
- Dental Hygienist
- Iowa City, IA
National Provider Identifier
1770663619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 02492
- Practice address
- 1039 Arthur St
Iowa City, IA 52240-6665 - Phone
- (319) 337-2114
- Fax
- (319) 337-3382
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 02492 | IA | Primary |
Addresses
Primary practice location
1039 Arthur St
Iowa City, IA 52240-6665
Mailing address
1039 Arthur St
Iowa City, IA 52240-6665
Phone (319) 337-2114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1624 | Other | IA | ANESTHESIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02492 | IA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770663619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 ARTHUR ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406665",
"telephone_number": "319-337-2114",
"fax_number": "319-337-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 ARTHUR ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406665",
"telephone_number": "319-337-2114",
"fax_number": "319-337-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUFER-FLAKE",
"first_name": "PAT",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IA",
"license": "02492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANESTHESIA",
"identifier": "1624",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.