NPIMap

Organization Active NPI

David G Llewelyn DDS PC

  • Dentist
  • West Des Moines, IA
National Provider Identifier
1396912697
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5044 Issued in IA
Legal business name
DAVID G LLEWELYN DDS PC
Practice address
701 13TH St
West Des Moines, IA 50265-3404
Phone
(515) 223-1274
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. David G Llewelyn, DDS
Title
President
Phone
(515) 223-1274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5044 IA Primary

Addresses

Primary practice location

701 13TH St
West Des Moines, IA 50265-3404

Mailing address

701 13TH St
West Des Moines, IA 50265-3404
Phone (515) 223-1274

Other identifiers 1

IdentifierTypeStateIssuer
0058958MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
David G Llewelyn DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1396912697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 13TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653404",
            "telephone_number": "515-223-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 13TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653404",
            "telephone_number": "515-223-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G LLEWELYN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "LLEWELYN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-223-1274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "5044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058958",
            "state": "IA"
        }
    ],
    "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 15, 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.