Gary Wingfield Amerman, DDS MS
Individual provider Active NPI Periodontics · West Des Moines, IA
NPI 1720153760 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720153760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 5887 (IA)
- Practice address
- 4090 Westown Parkway
Ste A4
West Des Moines, IA 50266-6760 - Phone
- (515) 223-9700
- Fax
- (515) 224-7696
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5887 | IA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Periodontal Group PC | Periodontics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5887 | IA | Yes |
Addresses
Primary practice location
4090 Westown Parkway
Ste A4
West Des Moines, IA 50266-6760
Mailing address
4090 Westown Parkway
Ste A4
West Des Moines, IA 50266-6760
Phone (515) 223-9700
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.