Organization Active NPI

Ames Center for Cosmetic and Family Dentistry PC

  • Customized Equipment (DME)
  • Ames, IA
National Provider Identifier
1184072555
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
08059 Issued in IA
Legal business name
AMES CENTER FOR COSMETIC AND FAMILY DENTISTRY PC
Practice address
415 S Duff Ave Ste D
Ames, IA 50010-6600
Phone
(515) 956-3700
Fax
(515) 956-4232
NPI assigned
May 26, 2016
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Dr. Amie J. Rockow-Nelson, DDSNPI 1316039407
Title
Owner/Dentist
Phone
(515) 956-3700

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
Customized Equipment (DME) 332BC3200X 08059 IA Primary

Addresses

Primary practice location

415 S Duff Ave Ste D
Ames, IA 50010-6600

Mailing address

415 S Duff Ave Ste D
Ames, IA 50010-6600
Phone (515) 956-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161014001728 IA DME Supplier - Oral Surgery - Dentist 0941598460 Practice locations: Ames, IA

National Provider Directory

National Provider Directory

Locations

415 S Duff Ave
Ste D
Ames, IA 50010
Phone (515) 956-3700

Practitioners & affiliated clinicians

Practitioners 1

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": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1184072555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S DUFF AVE STE D",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106600",
            "telephone_number": "515-956-3700",
            "fax_number": "515-956-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S DUFF AVE STE D",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106600",
            "telephone_number": "515-956-3700",
            "fax_number": "515-956-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMES CENTER FOR COSMETIC AND FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "ROCKOW-NELSON",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "515-956-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IA",
            "license": "08059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.