Active NPI
Quinn A Hoversten, DDS
- Dentist
- Iowa Falls, IA
National Provider Identifier
1821394529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 08723
- Practice address
- 1907 Washington Avenue
Iowa Falls, IA 50126 - Phone
- (641) 648-9364
- Fax
- (641) 648-5703
- NPI assigned
- Jan 28, 2011
- Last updated
- Jan 28, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 08723 | IA | Primary |
Addresses
Primary practice location
1907 Washington Avenue
Iowa Falls, IA 50126
Mailing address
1907 Washington Avenue
Iowa Falls, IA 50126
Phone (641) 648-9364
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125000775 | IA | Order and Referring Only - Dentist | 4789987868 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hansen Family Hospital | Hospital | Corporate Officer | Jan 1, 2020 |
| Nesco Family Medical Clinic | Rural health clinic | Corporate Officer | Apr 1, 2020 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Zearing, IA
- NPI 1144853516
Corporate Officer
-
dba Hansen Family Hospital
- Critical Access Hospital
- Iowa Falls, IA
- NPI 1831296052
Corporate Officer
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1821394529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 WASHINGTON AVENUE",
"city": "IOWA FALLS",
"state": "IA",
"postal_code": "50126",
"telephone_number": "641-648-9364",
"fax_number": "641-648-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 WASHINGTON AVENUE",
"city": "IOWA FALLS",
"state": "IA",
"postal_code": "50126",
"telephone_number": "641-648-9364",
"fax_number": "641-648-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVERSTEN",
"first_name": "QUINN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "08723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.