Organization Active NPI

Children'S Dental Center of Southeast Iowa, LLP

  • Pediatric Dentistry
  • West Burlington, IA
National Provider Identifier
1215858675
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S DENTAL CENTER OF SOUTHEAST IOWA, LLP
Practice address
409 Layne Dr
West Burlington, IA 52655-1060
Phone
(319) 752-1444
Fax
(319) 752-8468
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Dr. Michael Steven Mathews, DDSNPI 1093825176
Title
Owner/Pediatric Dentist
Phone
(319) 752-1444

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

409 Layne Dr
West Burlington, IA 52655-1060

Mailing address

409 Layne Dr
West Burlington, IA 52655-1060
Phone (319) 752-1444

Other practice location 1

1221 S Gear Ave
West Burlington, IA 52655-1679
Phone (319) 752-1444

Other practice location 2

1804 E Washington St
Mount Pleasant, IA 52641-3217
Phone (319) 752-1444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1215858675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LAYNE DR",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551060",
            "telephone_number": "319-752-1444",
            "fax_number": "319-752-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LAYNE DR",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551060",
            "telephone_number": "319-752-1444",
            "fax_number": "319-752-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Gear Ave",
            "address_purpose": "LOCATION",
            "city": "West Burlington",
            "state": "IA",
            "postal_code": "526551679",
            "country_code": "US",
            "telephone_number": "319-752-1444",
            "fax_number": "319-752-8468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "IA",
            "postal_code": "526413217",
            "country_code": "US",
            "telephone_number": "319-752-1444",
            "fax_number": "319-752-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CENTER OF SOUTHEAST IOWA, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "319-752-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.