Matthew M Maurer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08293 Issued in IA

Practice address

55 State St
Garner, IA 50438-1108

Phone

(641) 923-3771

Fax

(641) 923-2630

NPI assigned

Jul 13, 2006

Last updated

Mar 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1780609099",
    "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",
            "fax_number": "641-923-2630"
        },
        {
            "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",
            "fax_number": "641-923-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445544",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LISCENSE",
            "identifier": "08293",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten L Kockler, DPT
• Dana Michelle Kozisek, LISW
• Nancy E Lary, OT
• Selena Mae Losee, DO
• Amy R Maurer, DDS
• Samuel Memmelaar, DPM
• Mary Moats-Biechler, DO
• Breanne Mumm-Reed
• North Iowa Chiropractic & Acupuncture PC
• Haley Olson, OD

• 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 Mar 11, 2008; 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.