Individual provider Active NPI

Quinn A Hoversten, DDS

  • Dentist
  • Iowa Falls, IA
National Provider Identifier
1821394529
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08723 Issued in IA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125000775 IA Order and Referring Only - DentistPractitioner - 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.

FacilityTypeRoleSince
Hansen Family HospitalIowa Falls, IA, CCN 161380 Hospital Corporate Officer Jan 1, 2020
Nesco Family Medical ClinicZearing, IA, CCN 168642 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.

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

Verify at the official NPI Registry.