Des Moines Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DES MOINES DENTAL GROUP

Practice address

8515 Douglas Ave
Suite 21
Des Moines, IA 50322-2924

Phone

(515) 278-2361

Fax

(515) 276-9233

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Brandt

Title

General Manager

Phone

(515) 278-2361

Specialties & licenses 1

Addresses

Other names 1

• Robert W. Cram, D.D.S. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lillian Edwards, DDS

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1457813040
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1205907896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 DOUGLAS AVE",
            "address_2": "SUITE 21",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503222924",
            "telephone_number": "515-278-2361",
            "fax_number": "515-276-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 DOUGLAS AVE",
            "address_2": "SUITE 21",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503222924",
            "telephone_number": "515-278-2361",
            "fax_number": "515-276-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "515-278-2361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert W. Cram, D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tripti Dervesh, DDS
• Des Moines Anesthesia and Pain Management
• Des Moines Anesthesiologists PC
• Des Moines Cardiology, PC
• Des Moines Dental Care, P.C.
• Des Moines Independent Community School District
• Des Moines Internal Medicine PC
• Des Moines Medical Supplies
• Des Moines Midwife Collective LLC
• Des Moines OB GYN LLP

• All providers in Des Moines, IA
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.