Individual provider Active NPI

Annemarie Jean Desanto, DMD

  • Dentist
  • Sioux City, IA
National Provider Identifier
1326620212
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS-09953 Issued in IA
Practice address
5001 Sergeant Rd Ste 15
Sioux City, IA 51106-4777
Phone
(712) 239-0400
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D1317 SD
General Practice Dentistry 1223G0001X 26115 IA
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DDS-09953 IA Primary

Addresses

Primary practice location

5001 Sergeant Rd Ste 15
Sioux City, IA 51106-4777

Mailing address

83221 553 Ave
Madison, NE 68748-6558
Phone (402) 992-4322

Other practice location 1

5201 E Arrowhead Pkwy
Sioux Falls, SD 57110-2715
Phone (605) 789-3046

Other practice location 2

2400 W 41st St
Sioux Falls, SD 57105-6119
Phone (605) 679-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS-09953IAMDDentist
D1317SDMDDentist
26115IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1326620212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83221 553 AVE",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486558",
            "telephone_number": "402-992-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SERGEANT RD STE 15",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064777",
            "telephone_number": "712-239-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 E Arrowhead Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571102715",
            "country_code": "US",
            "telephone_number": "605-789-3046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 W 41st St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571056119",
            "country_code": "US",
            "telephone_number": "605-679-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESANTO",
        "first_name": "ANNEMARIE",
        "middle_name": "JEAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1317",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "26115",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.