Individual provider Active NPI

David Charles Motz, DDS

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1619907946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08092 Issued in IA
Practice address
2476 E Euclid Ave
Des Moines, IA 50317-3658
Phone
(515) 262-1923
Fax
(515) 262-5010
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08092 IA Primary

Addresses

Primary practice location

2476 E Euclid Ave
Des Moines, IA 50317-3658

Mailing address

4701 Pleasant St Apt 161
W Des Moines, IA 50266-5475
Phone (515) 401-6138

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
I20160504001756 IA Order and Referring Only - DentistPractitioner - Dentist 3971802422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08092IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Motz Dentistry, PC General Practice Past Accepting new patients
Matta Dental Care PLC General Practice PastSince Aug 23, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmotz637153@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619907946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 PLEASANT ST APT 161",
            "city": "W DES MOINES",
            "state": "IA",
            "postal_code": "502665475",
            "telephone_number": "515-401-6138",
            "fax_number": "515-262-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 E EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503173658",
            "telephone_number": "515-262-1923",
            "fax_number": "515-262-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTZ",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.