NPIMap

Organization Active NPI

Aspen Dental Pop West Des Moines PC

  • General Practice Dentistry
  • West Des Moines, IA
National Provider Identifier
1629586433
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASPEN DENTAL POP WEST DES MOINES PC
Practice address
6630 Mills Civic Pkwy Unit 1110
West Des Moines, IA 50266-8354
Phone
(515) 327-7000
NPI assigned
Jan 15, 2018
Last updated
Jan 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Joseph Tesene
Title
Owner
Phone
(515) 327-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6630 Mills Civic Pkwy Unit 1110
West Des Moines, IA 50266-8354

Mailing address

PO Box 3189
Syracuse, NY 13220-3189

National Provider Directory

National Provider Directory

Locations

6630 Mills Civic Pkwy
Unit 1110
West Des Moines, IA 50266
Phone 5153277000 ext. 2

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1629586433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 MILLS CIVIC PKWY UNIT 1110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668354",
            "telephone_number": "515-327-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DENTAL POP WEST DES MOINES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "TESENE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-327-7000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.