Organization Active NPI

Applewhite Dental Iowa PC

Doing business as Westown Pediatric Dentistry

  • Pediatric Dentistry
  • West Des Moines, IA
National Provider Identifier
1467948174
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
APPLEWHITE DENTAL IOWA PC
Doing business as
Westown Pediatric Dentistry
Practice address
4090 Westown Pkwy Ste B1
West Des Moines, IA 50266-6760
Phone
(563) 582-1448
Fax
(563) 556-1326
NPI assigned
Jul 5, 2018
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Sharon L Loso
Title
Credentialing Specialist
Phone
(563) 582-1448

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4090 Westown Pkwy Ste B1
West Des Moines, IA 50266-6760

Mailing address

40 Main St Ste 103
Dubuque, IA 52001-7641
Phone (563) 582-1448

Other names 1

  • Westown Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Applewhite Dental Iowa PC24 organizations share this tax ID, including this one
Part of
Applewhite Dental Iowa PC

Other organizations with this tax ID 23

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

View all 23

Locations

40 Main St
Ste 103
Dubuque, IA 52001
Phone (563) 582-1448

4090 Westown Pkwy
Ste B1
West Des Moines, IA 50266
Phone (515) 267-0737

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": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1467948174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 103",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017641",
            "telephone_number": "563-582-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 WESTOWN PKWY STE B1",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666760",
            "telephone_number": "563-582-1448",
            "fax_number": "563-556-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEWHITE DENTAL IOWA PC",
        "organizational_subpart": "YES",
        "enumeration_date": "2018-07-05",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "LOSO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "563-582-1448"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westown Pediatric Dentistry",
            "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 Jul 29, 2019; 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.