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Deactivated NPI 1386648764 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Arden Behrens , DDS

Dentist - General Practice • Burlington, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Behrens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2005
NPI Deactivation Date March 16, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Behrens, DDS was a registered Dentist - General Practice practicing in Burlington, IA. Throughout an active medical career spanning 1 years, Dr. Behrens provided care at the practice location at 2400 SURREY RD until profile deactivation on 2006-03-16.

Practice Location & Contact Primary Location

Practice Address

2400 Surrey Rd

Burlington, IA 526012346

Telephone 3197526042
Fax 3197526042

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Burlington, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Burlington, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 5750

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated July 22, 2022

Record deactivated on July 22, 2022

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Updated Practice Location July 08, 2007

Registered at 2400 SURREY RD, BURLINGTON, IA 526012346 (Tel: 3197526042)

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Updated Business Mailing Address July 08, 2007

Registered at 2400 SURREY RD, BURLINGTON, IA 526012346 (Tel: 3197526042)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK BEHRENS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5750 in IA)

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NPI Profile Reactivated March 22, 2006

Record officially reactivated for active practice on March 22, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386648764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: July 08, 2007
Deactivation Date: March 16, 2006

Mailing Address

2400 Surrey Rd

Burlington, IA 526012346

Phone: 3197526042

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.