NPIMap

Organization Active NPI

Iowa Dental Health Professionals, P.C.

Doing business as Gateway Family Dental

  • General Practice Dentistry
  • Grimes, IA
National Provider Identifier
1003168485
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IOWA DENTAL HEALTH PROFESSIONALS, P.C.
Doing business as
Gateway Family Dental
Plum Drive Dental
Practice address
1471 E 1St St
Grimes, IA 50111-5292
Phone
(515) 278-2888
Fax
(515) 253-9774
NPI assigned
Oct 9, 2012
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
IOWA DENTAL HEALTH PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1471 E 1St St
Grimes, IA 50111-5292

Mailing address

1471 E 1St St
Grimes, IA 50111-5292
Phone (515) 278-2888

Other names 2

  • Gateway Family Dental Doing business as
  • Plum Drive Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iowa Dental Professionals PC14 organizations share this tax ID, including this one
Part of
Iowa Dental Professionals PC

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

1471 E 1st St
Grimes, IA 50111
Phone (515) 278-2888

8501 Plum Dr
Urbandale, IA 50322
Phone (515) 278-2888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1003168485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 E 1ST ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501115292",
            "telephone_number": "515-278-2888",
            "fax_number": "515-253-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 E 1ST ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501115292",
            "telephone_number": "515-278-2888",
            "fax_number": "515-253-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA DENTAL HEALTH PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA DENTAL HEALTH PROFESSIONALS, P.C.",
        "enumeration_date": "2012-10-09",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plum Drive Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.