Brian Wade Ancell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08114 Issued in IA

Practice address

800 S 50TH St
Suite #105
West Des Moines, IA 50265-5381

Phone

(515) 226-9800

Fax

(515) 226-9804

NPI assigned

Feb 23, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bancell638304@direct.ochin.org

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

• Ancell Family Dentistry

  • General Practice Dentistry
  • West Des Moines, IA
  • NPI 1609030337
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609902972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S 50TH ST",
            "address_2": "SUITE #105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655381",
            "telephone_number": "515-226-9800",
            "fax_number": "515-226-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 50TH ST",
            "address_2": "SUITE #105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655381",
            "telephone_number": "515-226-9800",
            "fax_number": "515-226-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCELL",
        "first_name": "BRIAN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE DENTAL OF IA #",
            "identifier": "270089317-00001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID #",
            "identifier": "221049",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF IOWA #",
            "identifier": "8114",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA OF MN PROVIDER #",
            "identifier": "270089317-00001",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045-0270",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Wingfield Amerman, DDS MS
• Ampersand Holistic Wellness, LLC
• Beth Marie Amspaugh, MD
• Amy Tiefenthaler, LLC
• Ancell Family Dentistry
• Anchor Family Chiropractic
• Dana Andersen
• Britta M Anderson
• Caitlin Anderson
• Hannah Anderson

• General Practice Dentistry in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.