Micah Jess Vermeer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08649 Issued in IA

Practice address

2300 Washington St
Pella, IA 50219-7575

Phone

(641) 628-2671

Fax

(641) 628-8914

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1891923801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197575",
            "telephone_number": "641-628-2671",
            "fax_number": "641-628-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502197575",
            "telephone_number": "641-628-2671",
            "fax_number": "641-628-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEER",
        "first_name": "MICAH",
        "middle_name": "JESS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08649",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Vanderleest, O.D.
• Russell R Vanhemert, D.C., C.C.S.P.
• Donna L. Vanvark, RPH
• Myndi Marie Vanvoorst, OCCUPT. THERAPIST
• Elizabeth Audrey Vermeer
• Jana Beth Vink, LMSW
• Dennis Duane Vogel, PT
• Sarah Christine Vogel
• Suzanne Vonseggern, RPH
• Connie Louise Vos, PTA

• General Practice Dentistry in Pella, IA
• Providers in Pella, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.