Edp of Iowa PC
NPI 1720546476ActiveOrganization· Dentist, General Practice· Sioux City, IA
Dentist, General Practice in Sioux City, Iowa, registered in NPPES in March 2019, part of Edp of Iowa PC. The authorized official on file is Roseanne Brunenkant, Director Of Integrations.
Overview
| NPI | 1720546476 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Edp of Iowa PC |
| NPI issued | Mar 12, 2019 |
| Last updated in NPPES | Sep 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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