NPIMap

Organization Active NPI

West Des Moines Dental Center Inc.

  • General Practice Dentistry
  • West Des Moines, IA
National Provider Identifier
1104953298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
06727 Issued in IA
Legal business name
WEST DES MOINES DENTAL CENTER INC.
Doing business as
West Des Moines Dental Center Inc.
Practice address
1701 22ND St #101
West Des Moines, IA 50266
Phone
(515) 224-4867
Fax
(515) 223-1069
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John William Meyer, D.D.S.NPI 1154457653
Title
Owner
Phone
(515) 224-4867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 06727 IA Primary

Addresses

Primary practice location

1701 22ND St #101
West Des Moines, IA 50266

Mailing address

2500 Country Side Cir
West Des Moines, IA 50265-7642
Phone (515) 224-4867

Other identifiers 1

IdentifierTypeStateIssuer
3007963MedicaidIA

Other names 1

  • West Des Moines Dental Center Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1701 22nd St
Ste 101
West Des Moines, IA 50266
Phone (515) 224-4867

Practitioners & affiliated clinicians

Practitioners 5

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104953298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 COUNTRY SIDE CIR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657642",
            "telephone_number": "515-224-4867",
            "fax_number": "515-223-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 22ND ST #101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-224-4867",
            "fax_number": "515-223-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DES MOINES DENTAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-224-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3007963",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Des Moines Dental Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.