Adrienne D'Agostino Kane, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

08716 Issued in IA

Practice address

402 W Platt St
Maquoketa, IA 52060-2161

Phone

(563) 652-3811

Fax

(563) 652-3187

NPI assigned

Aug 6, 2010

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

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.

• Bruce a D'Agostino DDS PC

  • General Practice Dentistry
  • Maquoketa, IA
  • NPI 1083881270
  NPD (past)

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1841504453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W PLATT ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602161",
            "telephone_number": "563-652-3811",
            "fax_number": "563-652-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W PLATT ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602161",
            "telephone_number": "563-652-3811",
            "fax_number": "563-652-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "ADRIENNE",
        "middle_name": "D'AGOSTINO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson County Public Hospital
• Jackson County Public Hospital (Jackson County Regional Health Center)
• Jackson Ia Opco LLC (Jackson Ridge Healthcare Center)
• Jay Allen Jackson, RN
• Gloria Jorgensen
• Paul Henry Koob, DO
• Kari Kreel
• Marinna Lynne Kroh, MMFT
• Alyssa Lakin, PA C
• Lechtenberg Dental Clinic

• Dentist in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.