NPIMap

Organization Active NPI

Childrens Dental Surgery Associates PLC

Doing business as Cdsa

  • Pediatric Dentistry
  • Grimes, IA
National Provider Identifier
1346022068
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDRENS DENTAL SURGERY ASSOCIATES PLC
Doing business as
Cdsa
Practice address
1551 SE 3Rd St Ste 100
Grimes, IA 50111-8803
Phone
(515) 776-1136
Fax
(515) 864-0507
NPI assigned
Oct 17, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Dr. Nicholas Wade Barnard, DDSNPI 1821433160
Title
Pediatric Dentist
Phone
(515) 776-1136

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 Primary

Addresses

Primary practice location

1551 SE 3Rd St Ste 100
Grimes, IA 50111-8803

Mailing address

1551 SE 3Rd St Ste 100
Grimes, IA 50111-8803
Phone (515) 776-1136

Other names 1

  • CDSA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1346022068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SE 3RD ST STE 100",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118803",
            "telephone_number": "515-776-1136",
            "fax_number": "515-864-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SE 3RD ST STE 100",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501118803",
            "telephone_number": "515-776-1136",
            "fax_number": "515-864-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTAL SURGERY ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "515-776-1136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.