Gregory D. Beernink, D.D.S.
Individual provider Active NPI General Practice Dentistry · Orange City, IA
NPI 1942268420 · NPPES record last updated Jan 22, 2013
Key facts
- NPI
- 1942268420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6960 (IA)
- Practice address
- 909 Lincoln Cir SE
Orange City, IA 51041-1861 - Phone
- (712) 737-4177
- Fax
- (712) 737-8718
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6960 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange City Dentistry, Inc | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6960 | IA | Yes |
Addresses
Primary practice location
909 Lincoln Cir SE
Orange City, IA 51041-1861
Mailing address
909 Lincoln Cir SE
Orange City, IA 51041-1861
Phone (712) 737-4177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1216309 | Medicaid | IA |
Other providers in Orange City, IA
- Glenda M Altena
- Lori L Anderson
- Joan Andres
- Kari Michelle Beadner
- Melody Deanne Becker Pullman
- Bethany Christian Services of Northwest Iowa
- Marcus Blanekspoor
- Susan Blankers
- Gail Lynn Bolton
- Samantha Mae Bormann
All providers in Orange City, IA · General Practice Dentistry in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.