Active NPI
David Charles Motz, DDS
- General Practice Dentistry
- Des Moines, IA
National Provider Identifier
1619907946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08092
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160504001756 | IA | Order and Referring Only - Dentist | 3971802422 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08092 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motz Dentistry, PC | General Practice | Past | Accepting new patients |
| Matta Dental Care PLC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba All About Smiles, PC
- General Practice Dentistry
- Des Moines, IA
- NPI 1477720605
-
- General Practice Dentistry
- Des Moines, IA
- NPI 1558973826
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.