Waterloo Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WATERLOO PEDIATRIC DENTISTRY

Practice address

112 W Park LN
Waterloo, IA 50701-5119

Phone

(319) 429-0179

NPI assigned

Feb 13, 2023

Last updated

Aug 2, 2023By 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

Alison Christensen, DDSNPI 1023505484

Title

Owner

Phone

(319) 429-0179

Specialties & licenses 1

Addresses

Locations

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.

• Alison Renee Christensen, DDS

  • Pediatric Dentistry
  • West Des Moines, IA
  • NPI 1023505484
  NPD Authorized official

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1700583580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W PARK LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015119",
            "telephone_number": "319-595-2160",
            "fax_number": "319-595-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W PARK LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015119",
            "telephone_number": "319-429-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-429-0179",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casaundra Washington
• Sarah Waskow, DPT
• Waterloo Chiropractic Center PLLC
• Waterloo Community School District
• Waterloo Emergency Physicians, LLC
• Waterloo Skilled Nursing Facility LLC (Harmony Waterloo)
• Waterloo Visiting Nursing Association
• Waterloo Visiting Nursing Association
• Alexander Wawer, MD
• Mir Ahmad Waziri, MD

• Pediatric Dentistry in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.