NPIMap

Organization Active NPI

Steffany L Mohan DDS PC

Doing business as Plaza Dental Group

  • Dental Clinic/Center
  • West Des Moines, IA
National Provider Identifier
1386801108
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7835 Issued in IA
Legal business name
STEFFANY L MOHAN DDS PC
Doing business as
Plaza Dental Group
Practice address
1089 Jordan Creek Pkwy
Suite 100
West Des Moines, IA 50266-5829
Phone
(515) 224-5999
Fax
(515) 224-5966
NPI assigned
May 20, 2008
Last updated
Oct 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Dr. Steffany Mohan, D.D.S.NPI 1972670024
Title
Dentist/Business Owner
Phone
(515) 224-5999

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7835 IA
Dental Clinic/Center 261QD0000X 7835 IA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1089 Jordan Creek Pkwy
Suite 100
West Des Moines, IA 50266-5829

Mailing address

1089 Jordan Creek Pkwy
Suite 100
West Des Moines, IA 50266-5829
Phone (515) 224-5999

Other identifiers 1

IdentifierTypeStateIssuer
0197160MedicaidIA

Other names 1

  • Plaza Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1089 Jordan Creek Pkwy
West Des Moines, IA 50266
Phone (515) 224-5999

1089 Jordan Creek Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 224-5999

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1386801108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 JORDAN CREEK PKWY",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665829",
            "telephone_number": "515-224-5999",
            "fax_number": "515-224-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 JORDAN CREEK PKWY",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665829",
            "telephone_number": "515-224-5999",
            "fax_number": "515-224-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFFANY L MOHAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "STEFFANY",
        "authorized_official_title_or_position": "DENTIST/BUSINESS OWNER",
        "authorized_official_telephone_number": "515-224-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7835",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "7835",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197160",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 2, 2020; 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.