Individual provider Active NPI

Molly Bremen, DDS

  • Pediatric Dentistry
  • Des Moines, IA
National Provider Identifier
1043507890
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DDS-09177 Issued in IA
Practice address
7600 Fleur Dr
Des Moines, IA 50321-3111
Phone
(515) 650-4441
Fax
(515) 630-1916
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DDS-09177 IA Primary

Addresses

Primary practice location

7600 Fleur Dr
Des Moines, IA 50321-3111

Mailing address

7600 Fleur Dr
Des Moines, IA 50321-3111
Phone (515) 650-4441

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@drmollydentistry.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS-09177IAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilgers Pediatric Dentistry Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1043507890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FLEUR DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503213111",
            "telephone_number": "515-650-4441",
            "fax_number": "515-630-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FLEUR DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503213111",
            "telephone_number": "515-650-4441",
            "fax_number": "515-630-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREMEN",
        "first_name": "MOLLY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-09177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@drmollydentistry.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "7600 Fleur Dr",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503213111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.