Michael Ray Main, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08445 Issued in IA

Practice address

1701 22ND St Ste 101
West Des Moines, IA 50266-1443

Phone

(515) 224-4867

Fax

(515) 223-1069

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Michael Ray Main Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Applewhite Dental Iowa PC

  dba West Des Moines Dental Center

  • General Practice Dentistry
  • West Des Moines, IA
  • NPI 1215597703
  NPD (past)
• West Des Moines Dental Center Inc.

  • General Practice Dentistry
  • West Des Moines, IA
  • NPI 1104953298
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619003134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 AURORA AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221459",
            "telephone_number": "319-325-6500",
            "fax_number": "515-223-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 22ND ST STE 101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661443",
            "telephone_number": "515-224-4867",
            "fax_number": "515-223-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MAIN",
            "middle_name": "RAY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maxwell Raleigh Magee
• Magis Chiropractic PC
• Magnolia Roots Collective and Counseling PLLC
• Jennifer Ann Maharry
• Pallavi Mahesh
• Ellen Majewski, PT, DPT
• Neha Majithia
• Robert Harold Major, MD
• Making Space Therapy LLC
• Sukanya Rani Makkapati, DO

• 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 8, 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.