NPIMap

Organization Active NPI

Endodontics, P.C.

  • Endodontics
  • West Des Moines, IA
National Provider Identifier
1114053857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
05633 Issued in IA
Legal business name
ENDODONTICS, P.C.
Practice address
1450 28TH St
West Des Moines, IA 50266-1430
Phone
(515) 224-4455
Fax
(515) 224-4040
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Michael Henry Leuck, DDSNPI 1154457885
Title
President
Phone
(515) 224-4455

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
Endodontics 1223E0200X 05633 IA Primary

Addresses

Primary practice location

1450 28TH St
West Des Moines, IA 50266-1430

Mailing address

1450 28TH St
West Des Moines, IA 50266-1430
Phone (515) 224-4455

National Provider Directory

National Provider Directory

Locations

1450 28th St
West Des Moines, IA 50266
Phone (515) 224-4455

Practitioners & affiliated clinicians

Practitioners 7

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114053857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 28TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661430",
            "telephone_number": "515-224-4455",
            "fax_number": "515-224-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 28TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661430",
            "telephone_number": "515-224-4455",
            "fax_number": "515-224-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEUCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-224-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "05633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.