Active NPI
Candid Iowa, P.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Des Moines, IA
National Provider Identifier
1629685722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- CANDID IOWA, P.C.
- Practice address
- 309 Court Ave Ste 815
Des Moines, IA 50309-2282 - Phone
- (860) 481-7631
- NPI assigned
- Sep 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Shannon
- Title
- DDS
- Phone
- (860) 481-7631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
309 Court Ave Ste 815
Des Moines, IA 50309-2282
Mailing address
309 Court Ave Ste 815
Des Moines, IA 50309-2282
Phone (860) 481-7631
National Provider Directory
National Provider DirectoryLocations
309 Court Ave
Ste 815
Des Moines, IA 50309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600819200000",
"number": "1629685722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 COURT AVE STE 815",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503092282",
"telephone_number": "860-481-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 COURT AVE STE 815",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503092282",
"telephone_number": "860-481-7631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDID IOWA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "SHANNON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "860-481-7631"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"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 Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.