Individual provider Active NPI

Cathy C Tigges, DDS

  • Dentist
  • Carroll, IA
National Provider Identifier
1871640623
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07656 Issued in IA
Practice address
522 N Clark St
Carroll, IA 51401-2507
Phone
(712) 792-4375
Fax
(712) 792-3371
NPI assigned
Jan 4, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 07656 IA Primary

Addresses

Primary practice location

522 N Clark St
Carroll, IA 51401-2507

Mailing address

522 N Clark St
Carroll, IA 51401-2507
Phone (712) 792-4375

Other identifiers 3

IdentifierTypeStateIssuer
180751OtherIAUNITED CONCORDIA ID #
06729OtherIABLUECROSS BLUESHIELD ID #
1196030MedicaidIA

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
I20151016001649 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618286485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07656IAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871640623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012507",
            "telephone_number": "712-792-4375",
            "fax_number": "712-792-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012507",
            "telephone_number": "712-792-4375",
            "fax_number": "712-792-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGGES",
        "first_name": "CATHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "07656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID #",
            "identifier": "180751",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ID #",
            "identifier": "06729",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1196030",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.