Organization Active NPI

Iowa Periodontics, P.C.

  • Periodontics
  • West Des Moines, IA
National Provider Identifier
1346407590
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
IOWA PERIODONTICS, P.C.
Practice address
4090 Westown Pkwy
Suite a-5
West Des Moines, IA 50266-6760
Phone
(515) 223-5225
Fax
(515) 223-8630
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
De Ann Swenson
Title
Office Manager
Phone
(515) 223-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X IA Primary

Addresses

Primary practice location

4090 Westown Pkwy
Suite a-5
West Des Moines, IA 50266-6760

Mailing address

4090 Westown Pkwy
Suite a-5
West Des Moines, IA 50266-6760
Phone (515) 223-5225

National Provider Directory

National Provider Directory

Locations

4090 Westown Pkwy
Ste A5
West Des Moines, IA 50266
Phone (515) 223-5225

Practitioners & affiliated clinicians

Practitioners 1

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1346407590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 WESTOWN PKWY",
            "address_2": "SUITE A-5",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666760",
            "telephone_number": "515-223-5225",
            "fax_number": "515-223-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 WESTOWN PKWY",
            "address_2": "SUITE A-5",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666760",
            "telephone_number": "515-223-5225",
            "fax_number": "515-223-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PERIODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "DE ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-223-5225"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": null,
            "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 16, 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.