NPIMap

Organization Active NPI

Rastetter Dental PC

Doing business as Douglas Dental PC

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1700043569
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8061 Issued in IA
Legal business name
RASTETTER DENTAL PC
Doing business as
Douglas Dental PC
Practice address
6128 Douglas Ave
Douglas Dental PC
Des Moines, IA 50322
Phone
(515) 270-6809
Fax
(515) 270-4959
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Dwight W Rastetter, DDSNPI 1700951209
Title
Owner
Phone
(515) 270-6809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8061 IA Primary

Addresses

Primary practice location

6128 Douglas Ave
Douglas Dental PC
Des Moines, IA 50322

Mailing address

6128 Douglas Ave
Douglas Dental PC
Des Moines, IA 50322
Phone (515) 270-6809

Other names 1

  • Douglas Dental PC Doing business as

National Provider Directory

National Provider Directory

Locations

6128 Douglas Ave
Des Moines, IA 50322
Phone (515) 270-6809

Practitioners & affiliated clinicians

Practitioners 2

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1700043569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 DOUGLAS AVE",
            "address_2": "DOUGLAS DENTAL PC",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50322",
            "telephone_number": "515-270-6809",
            "fax_number": "515-270-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 DOUGLAS AVE",
            "address_2": "DOUGLAS DENTAL PC",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50322",
            "telephone_number": "515-270-6809",
            "fax_number": "515-270-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASTETTER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "RASTETTER",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-270-6809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 20, 2008; 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.