Organization Active NPI

Emergency Dentist LLC Dba Emergency Dentist Des Moines

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1346940103
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EMERGENCY DENTIST LLC DBA EMERGENCY DENTIST DES MOINES
Practice address
801 Grand Ave # 150B
Des Moines, IA 50309-8000
Phone
(515) 631-4994
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Taylor Nielsen, DMDNPI 1659851814
Title
Owner
Phone
(515) 664-1020

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

801 Grand Ave # 150B
Des Moines, IA 50309-8000

Mailing address

801 Grand Ave # 150B
Des Moines, IA 50309-8000
Phone (515) 631-4994

National Provider Directory

National Provider Directory

Locations

801 Grand Ave
#150B
Des Moines, IA 50309
Phone (515) 631-4994

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": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1346940103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GRAND AVE # 150B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503098000",
            "telephone_number": "515-631-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GRAND AVE # 150B",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503098000",
            "telephone_number": "515-631-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY DENTIST LLC DBA EMERGENCY DENTIST DES MOINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-664-1020",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.