NPIMap

Organization Active NPI

Walnut Hills Pediatric Dentistry, L.L.C.

  • Pediatric Dentistry
  • Waukee, IA
National Provider Identifier
1326343252
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
08555 Issued in IA
Legal business name
WALNUT HILLS PEDIATRIC DENTISTRY, L.L.C.
Practice address
64 E Hickman Road
Waukee, IA 50263
Phone
(515) 987-1155
Fax
(515) 987-1181
NPI assigned
Jan 25, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Nicholas Steven Waage, D.D.S.NPI 1598763443
Title
Pediatric Dentist/Sole Member
Phone
(515) 987-1155

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 Dentistry 1223P0221X 08555 IA Primary

Addresses

Primary practice location

64 E Hickman Road
Waukee, IA 50263

Mailing address

64 E Hickman Road
Waukee, IA 50263
Phone (515) 987-1155

National Provider Directory

National Provider Directory

Locations

64 E Hickman Rd
Waukee, IA 50263
Phone (515) 987-1155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1326343252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E HICKMAN ROAD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "50263",
            "telephone_number": "515-987-1155",
            "fax_number": "515-987-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E HICKMAN ROAD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "50263",
            "telephone_number": "515-987-1155",
            "fax_number": "515-987-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT HILLS PEDIATRIC DENTISTRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "WAAGE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/SOLE MEMBER",
        "authorized_official_telephone_number": "515-987-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.