NPIMap

Organization Active NPI

Dental Connections, Inc.

  • Public Health Dentistry
  • Des Moines, IA
National Provider Identifier
1104837046
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
08207 Issued in IA
Legal business name
DENTAL CONNECTIONS, INC.
Practice address
1111 9TH St
Ste 190
Des Moines, IA 50314-2582
Phone
(515) 244-9136
Fax
(515) 244-9153
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Carly Ross
Title
President/Ceo
Phone
(515) 244-9136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 08207 IA Primary

Addresses

Primary practice location

1111 9TH St
Ste 190
Des Moines, IA 50314-2582

Mailing address

1111 9TH St
Ste 190
Des Moines, IA 50314-2582
Phone (515) 244-9136

Other identifiers 2

IdentifierTypeStateIssuer
0037838MedicaidIA
0222570MedicaidIA

Other names 1

  • Dental Connections Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daniel a Hepplewhite D3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1111 9th St
Ste 190
Des Moines, IA 50314
Phone (515) 224-9136

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1104837046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 9TH ST",
            "address_2": "STE 190",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142582",
            "telephone_number": "515-244-9136",
            "fax_number": "515-244-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 9TH ST",
            "address_2": "STE 190",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142582",
            "telephone_number": "515-244-9136",
            "fax_number": "515-244-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CONNECTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-244-9136"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "IA",
            "license": "08207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037838",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Connections",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 4, 2022; 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.