Individual provider Active NPI

Lindsey Jo Meder-Cowherd, D.D.S.

  • Dentist
  • West Des Moines, IA
National Provider Identifier
1609050764
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08482 Issued in IA
Practice address
1450 28TH St
West Des Moines, IA 50266-1430
Phone
(515) 224-4455
Fax
(515) 224-4040
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08482 IA Primary

Addresses

Primary practice location

1450 28TH St
West Des Moines, IA 50266-1430

Mailing address

1450 28TH St
West Des Moines, IA 50266-1430
Phone (515) 224-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826001054 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597908376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontics, P.C. PastSince Apr 30, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1609050764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 28TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661430",
            "telephone_number": "515-224-4455",
            "fax_number": "515-224-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 28TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661430",
            "telephone_number": "515-224-4455",
            "fax_number": "515-224-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDER-COWHERD",
        "first_name": "LINDSEY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.