Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831101427 Individual Practitioner Male Practitioner

Dr. C James Mikelson , DDS

Dentist - General Practice • Waterloo, IA

Professional Overview & Biography Verified Profile Summary

Dr. C Mikelson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waterloo, IA. Practice services are available at 3308 KIMBALL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3308 Kimball Ave

Waterloo, IA 50702

Telephone 3192336177
Fax 3192343906
Associated Practice Facility / Clinic
🏢 James J. Cahill, D.d.s., P.c. Facility NPI 1235306408

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Waterloo, 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 05851

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0120865 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Kathleen Bohr , DDS

Dentist - General Practice

NPI 1013563303

Doctor of Dental Surgery

Dr. Benjamin Squires , DDS

Dentist - General Practice

NPI 1235390295

Doctor of Dental Surgery

Dr. John Spragg , DDS

Dentist - General Practice

NPI 1356455448

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3308 KIMBALL AVE, WATERLOO, IA 50702 (Tel: 3192336177)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3308 KIMBALL AVE, WATERLOO, IA 50702 (Tel: 3192336177)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as C MIKELSON, DDS

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

Dentist (License #05851 in IA)

🟢
Initial NPI Registration & Enumeration August 12, 2006

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: 1831101427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3308 Kimball Ave

Waterloo, IA 50702

Phone: 3192336177

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.