Nancy I Hammond, DDS MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6364 Issued in IA

Practice address

822 NE Alices Rd
Waukee, IA 50263-8857

Phone

(515) 264-2772

NPI assigned

May 4, 2006

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shadow Creek Pediatric Dentistry, LLC

  • Dental Clinic/Center
  • Waukee, IA
  • NPI 1538794516
  NPD Authorized official
• Shadow Creek Pediatric Dentistry of Waukee LLC

  • Pediatric Dentistry
  • Waukee, IA
  • NPI 1417867946
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1245288406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 FAIRWAY CT",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663851",
            "telephone_number": "515-480-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 NE ALICES RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638857",
            "telephone_number": "515-264-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "NANCY",
        "middle_name": "I",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "6364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waukee",
            "affiliation": "N",
            "endpointDescription": "Pediatric Dental Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "822 NE Alices Rd",
            "city": "Waukee",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502638857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• GRX Holdings LLC (Medicap Pharmacy)
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• Sapna Sondhi Gupta, D.O.
• Kaitlyn Hall, PT, DPT, ATC
• Hammer & Forge Chiropractic LLC
• Laura Imming Hanson, PT, DPT
• Harmony Home Care LLC
• Elyse Rose Harper, M.F.C.S, LMFT
• Aaron Harris, SLP
• Hannah Alisa Hartman, DO

• Pediatric Dentistry in Waukee, IA
• Providers in Waukee, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.