Individual provider Active NPI

Kevin Nowins, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cedar Rapids, IA
National Provider Identifier
1861848400
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DDS-10075 Issued in IA
Practice address
4150 Edgewood Rd NE Ste 100
Cedar Rapids, IA 52402-7106
Phone
(319) 366-8277
NPI assigned
May 13, 2016
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DDS-10075 IA Primary

Addresses

Primary practice location

4150 Edgewood Rd NE Ste 100
Cedar Rapids, IA 52402-7106

Mailing address

4150 Edgewood Rd NE Ste 100
Cedar Rapids, IA 52402-7106
Phone (319) 366-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 13, 2023 through Apr 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS-10075IAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Eastern Iowa Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Aug 13, 2023 Accepting new patients

Locations

4150 Edgewood Rd NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 366-8277

Interoperability endpoints

  • Direct secure messaging: knowins996674@direct.unitypoint.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1861848400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 EDGEWOOD RD NE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027106",
            "telephone_number": "319-366-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 EDGEWOOD RD NE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027106",
            "telephone_number": "319-366-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWINS",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "DDS-10075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.