R&D Dental PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

R&D DENTAL PLC

Doing business as

Des Moines Dental group

Practice address

8515 Douglas Ave
Urbandale, IA 50322-2915

Phone

(515) 512-5339

NPI assigned

Mar 25, 2020

Last updated

Mar 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajendar MattaNPI 1780814954

Title

President

Phone

(205) 617-7417

Specialties & licenses 1

Addresses

Other names 1

• Des Moines Dental group Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: jeffbrandt@dmdentalgroup.com

Practitioners 1

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.

• Rajendar Matta, D.M.D

  • Dentist
  • Coraopolis, PA
  • NPI 1780814954
  NPD Authorized official

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1689201154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 WILLOW DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258317",
            "telephone_number": "205-617-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222915",
            "telephone_number": "515-512-5339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 McKinley Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503212305",
            "country_code": "US",
            "telephone_number": "515-512-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R&D DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "RAJENDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-617-7417"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffbrandt@dmdentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8515 Douglas Ave",
            "city": "Urbandale",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503222915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Des Moines Dental group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primary Health Care, Inc. (Primary Health Care-West Side Clinic)
• Primecare LLC
• Jennifer Lynn Prymek, RPH
• Jacob Conrad Pudenz
• Aaron Chistopher Quinn, PH.D.
• Lazaro Rabang, MD
• Hollie Lynn Radig, DC
• Gwen R Radke, OT
• Trina M Radske-Suchan, PT
• Adrian Rains, PA-C

• Dental Clinic/Center in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.