Active NPI
Oral Health Clinic PC
- Dental Clinic/Center
- Pleasant Hill, IA
National Provider Identifier
1053579201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 8353
- Legal business name
- ORAL HEALTH CLINIC PC
- Practice address
- 1225 Copper Creek Dr Suite K
Pleasant Hill, IA 50327-7091 - Phone
- (515) 266-3700
- Fax
- (515) 266-3597
- NPI assigned
- May 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chadwick Aaron Johnson, DDS
- Title
- President
- Phone
- (515) 266-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 8353 | IA | Primary |
Addresses
Primary practice location
1225 Copper Creek Dr Suite K
Pleasant Hill, IA 50327-7091
Mailing address
1225 Copper Creek Dr Suite K
Pleasant Hill, IA 50327-7091
Phone (515) 266-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0462705 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
1225 Copper Creek Dr
Ste K
Pleasant Hill, IA 50327
Phone (515) 266-3700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- West Des Moines, IA
- NPI 1558660738
-
- Dentist
- Pleasant Hill, IA
- NPI 1881738383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1053579201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 COPPER CREEK DR SUITE K",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503277091",
"telephone_number": "515-266-3700",
"fax_number": "515-266-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 COPPER CREEK DR SUITE K",
"city": "PLEASANT HILL",
"state": "IA",
"postal_code": "503277091",
"telephone_number": "515-266-3700",
"fax_number": "515-266-3597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL HEALTH CLINIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "CHADWICK",
"authorized_official_middle_name": "AARON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-266-3700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IA",
"license": "8353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0462705",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.