Organization Active NPI

O'Meara Dental

  • Dentist
  • Des Moines, IA
National Provider Identifier
1598877755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6361 Issued in IA
Legal business name
O'MEARA DENTAL
Practice address
1000 73Rd Street
Suite 7
Des Moines, IA 50311
Phone
(515) 243-0591
Fax
(515) 243-0592
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Patrick O'Meara, DDSNPI 1598971491
Title
Dentist
Phone
(515) 243-0591

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
Dentist 122300000X 6361 IA Primary

Addresses

Primary practice location

1000 73Rd Street
Suite 7
Des Moines, IA 50311

Mailing address

1000 73Rd Street
Suite 7
Des Moines, IA 50311
Phone (515) 243-0591

Other identifiers 3

IdentifierTypeStateIssuer
0152157MedicaidIA
980874OtherUNITED CONCORDIA TRICARE
15215OtherIABCBS

National Provider Directory

National Provider Directory

Locations

1000 73rd St
Ste 7
West Des Moines, IA 50265
Phone (515) 223-4387

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598877755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 73RD STREET",
            "address_2": "SUITE 7",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50311",
            "telephone_number": "515-243-0591",
            "fax_number": "515-243-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 73RD STREET",
            "address_2": "SUITE 7",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50311",
            "telephone_number": "515-243-0591",
            "fax_number": "515-243-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'MEARA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'MEARA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "515-243-0591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "6361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152157",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA TRICARE",
            "identifier": "980874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15215",
            "state": "IA"
        }
    ],
    "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 Aug 22, 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.