NPIMap

Organization Active NPI

Chad B Stevenson DDS PC

  • Clinic/Center
  • West Des Moines, IA
National Provider Identifier
1285891176
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
7330 Issued in IA
Legal business name
CHAD B STEVENSON DDS PC
Practice address
1005 Grand Ave
Suite 200
West Des Moines, IA 50265-3577
Phone
(515) 223-1940
Fax
(515) 223-1062
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Chad B Stevenson, DDSNPI 1992884365
Title
President/Owner/Dentist
Phone
(515) 223-1940

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
Clinic/Center 261Q00000X 7330 IA Primary

Addresses

Primary practice location

1005 Grand Ave
Suite 200
West Des Moines, IA 50265-3577

Mailing address

1005 Grand Ave
Suite 200
West Des Moines, IA 50265-3577
Phone (515) 223-1940

National Provider Directory

National Provider Directory

Locations

1005 Grand Ave
Ste 200
West Des Moines, IA 50265
Phone (515) 223-1940

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1285891176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 GRAND AVE",
            "address_2": "SUITE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653577",
            "telephone_number": "515-223-1940",
            "fax_number": "515-223-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 GRAND AVE",
            "address_2": "SUITE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653577",
            "telephone_number": "515-223-1940",
            "fax_number": "515-223-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD B STEVENSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/DENTIST",
        "authorized_official_telephone_number": "515-223-1940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "7330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 19, 2008; 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.