Organization Active NPI

Iowa Pediatric Dental Surgery, P.L.L.C.

  • Pediatric Dentistry
  • West Des Moines, IA
National Provider Identifier
1497510838
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
IOWA PEDIATRIC DENTAL SURGERY, P.L.L.C.
Practice address
1111 Jordan Creek Pkwy
West Des Moines, IA 50266-5816
Phone
(515) 222-1803
Fax
(515) 222-1805
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Dr. Hans Michael Leonard, DDSNPI 1124255799
Title
Dentist/Owner
Phone
(319) 480-4612

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

1111 Jordan Creek Pkwy
West Des Moines, IA 50266-5816

Mailing address

1111 Jordan Creek Pkwy
West Des Moines, IA 50266-5816
Phone (515) 222-1803

National Provider Directory

National Provider Directory

Locations

1111 Jordan Creek Pkwy
West Des Moines, IA 50266
Phone (515) 222-1800

Practitioners & affiliated clinicians

Practitioners 2

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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1497510838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 JORDAN CREEK PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665816",
            "telephone_number": "515-222-1803",
            "fax_number": "515-222-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 JORDAN CREEK PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665816",
            "telephone_number": "515-222-1803",
            "fax_number": "515-222-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PEDIATRIC DENTAL SURGERY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "319-480-4612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "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 Feb 15, 2024; 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.