NPIMap

Organization Active NPI

Revell-Warrington Dental PC

  • Pediatric Dentistry
  • West Des Moines, IA
National Provider Identifier
1275965246
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
08631 Issued in IA
Legal business name
REVELL-WARRINGTON DENTAL PC
Practice address
5950 Village View Dr
Suite 200
West Des Moines, IA 50266-3844
Phone
(515) 225-1677
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Jack Warrington, DDSNPI 1548497068
Title
President
Phone
(515) 225-1677

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 08631 IA Primary

Addresses

Primary practice location

5950 Village View Dr
Suite 200
West Des Moines, IA 50266-3844

Mailing address

5950 Village View Dr
Suite 200
West Des Moines, IA 50266-3844
Phone (515) 225-1677

Other names 1

  • Des Moines Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5950 Village View Dr
Ste 200
West Des Moines, IA 50266
Phone (515) 225-1677

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": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1275965246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 VILLAGE VIEW DR",
            "address_2": "SUITE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663844",
            "telephone_number": "515-225-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 VILLAGE VIEW DR",
            "address_2": "SUITE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663844",
            "telephone_number": "515-225-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELL-WARRINGTON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "WARRINGTON",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-225-1677",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Moines Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.