NPIMap

Organization Active NPI

Walid Abdel Fatah, DDS, PC

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1114337276
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
70537 Issued in IA
Legal business name
WALID ABDEL FATAH, DDS, PC
Practice address
3737 Merle Hay Rd
Des Moines, IA 50310-1239
Phone
(515) 418-9848
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Mrs. Amy Marko
Title
VP Insurance Operations
Phone
(315) 454-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 70537 IA Primary

Addresses

Primary practice location

3737 Merle Hay Rd
Des Moines, IA 50310-1239

Mailing address

PO Box 3189
Syracuse, NY 13220-3189
Phone (315) 454-6000

Other names 1

  • Aspen Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3737 Merle Hay Rd
Des Moines, IA 50310
Phone (515) 418-9848

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1114337276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MERLE HAY RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101239",
            "telephone_number": "515-418-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALID ABDEL FATAH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "MARKO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP INSURANCE OPERATIONS",
        "authorized_official_telephone_number": "315-454-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "70537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Dental",
            "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 Apr 29, 2014; 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.