Co SDS II PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CO SDS II PLLC

Practice address

40 Northcrest Dr Ste 1
Council Bluffs, IA 51503-1698

Phone

(712) 328-9605

NPI assigned

Aug 15, 2025

Organization subpart

No

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

Authorized official

Name

Charlotte Dasch

Title

Sr. Director of Credentialing

Phone

(504) 638-0303

Specialties & licenses 2

Addresses

Tax ID family

Co SDS II PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Co SDS II PLLC

  • Pediatric Dentistry
  • Council Bluffs, IA
  • NPI 1700762481
  NPD tax ID

Subparts reporting this organization as parent 1

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

• Co SDS II PLLC

  • Pediatric Dentistry
  • Council Bluffs, IA
  • NPI 1700762481
  NPPES parent name

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1194601864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "504-638-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NORTHCREST DR STE 1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031698",
            "telephone_number": "712-328-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO SDS II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SR. DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Ann Clare, NP-C
• Angela Marie Clark, MA
• David Curtis Clark
• Deborah M Clay, LMHC
• Clear Mind Therapy LLC
• Co SDS II PLLC
• Jessalyn Cochran, APRN
• Jessica Coffman
• Clarine I Coker, M.D.
• Debra Kay Coleman

• Pediatric Dentistry in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.