Individual provider Active NPI

Seth Michael Dunne, DDS

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1316518103
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-10012 Issued in IA
Practice address
801 Grand Ave Ste 150
Des Moines, IA 50309-8014
Phone
(515) 243-3419
NPI assigned
Jul 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-10012 IA Primary

Addresses

Primary practice location

801 Grand Ave Ste 150
Des Moines, IA 50309-8014

Mailing address

6455 Galleria Dr Apt 4408
West Des Moines, IA 50266-6753
Phone (319) 389-5286

Other practice location 1

1021 Nebraska St
Sioux City, IA 51105-1436
Phone (712) 252-2477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203000339 IA Practitioner - Dentist 0244602027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Siouxland Community Health Center CurrentSince Mar 3, 2023 Accepting new patients
Taylor Nielsen LLC CurrentSince Mar 12, 2023 Accepting new patients
Oz Family Dentistry, P.C. General Practice PastSince Jul 1, 2021 Accepting new patients

Locations

801 Grand Ave
Ste 150
Des Moines, IA 50309
Phone (515) 243-3419

1021 Nebraska St
Sioux City, IA 51105
Phone (712) 252-2477

Interoperability endpoints

  • Direct secure messaging: sdunne637024@direct.ochin.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1316518103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 GALLERIA DR APT 4408",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666753",
            "telephone_number": "319-389-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GRAND AVE STE 150",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503098014",
            "telephone_number": "515-243-3419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Nebraska St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511051436",
            "country_code": "US",
            "telephone_number": "712-252-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNNE",
        "first_name": "SETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-03-10",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.