Chad Michael Pfohl, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

08459 Issued in IA

Practice address

2814 Northgate Dr
Suite 2
Iowa City, IA 52245-9513

Phone

(319) 338-5484

Fax

(319) 338-9413

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Merit-based Incentive Payment System (MIPS)

Final score

80.02 of 100Reported as group

Quality

75.68

Promoting interoperability

78

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cpfohl52347@uihcdirect.org

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942413661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 NORTHGATE DR.",
            "address_2": "SUITE 2",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459568",
            "telephone_number": "319-338-5484",
            "fax_number": "319-338-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 NORTHGATE DR",
            "address_2": "SUITE 2",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459513",
            "telephone_number": "319-338-5484",
            "fax_number": "319-338-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFOHL",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "08459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Michael Pettker, MD
• Lauren Elizabeth Pettus, RN
• Alejandro Antonio Pezzulo Colmenares, M.D.
• Nathan Andrew Pfister, MD
• Bruce M Pfohl, MD
• Sneha Phadke, DO
• Chau Pham, M.D.
• Erica Pham
• Than Pham, DO
• Thuy Truong an Pham, MD

• Oral and Maxillofacial Surgery (Dentist) in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.