Diana Pelzer, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS-09313 Issued in IA

Practice address

1250 SE University Ave
Waukee, IA 50263-8831

Phone

(515) 650-6378

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Nest Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Waukee, IA
  • NPI 1790315166
  NPD Authorized official
• Family Orthodontics of Iowa, PLLC

  • Dentist
  • West Des Moines, IA
  • NPI 1699233163
  NPD (past)
• Matthew Kubovich

  • Pediatric Dentistry
  • West Des Moines, IA
  • NPI 1386811677
  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1760801062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SE UNIVERSITY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638831",
            "telephone_number": "515-650-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SE UNIVERSITY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638831",
            "telephone_number": "515-650-6378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 Westown Pkwy",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502666702",
            "country_code": "US",
            "telephone_number": "515-225-0066",
            "fax_number": "515-226-0998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 9th St Ste 190",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "50314",
            "country_code": "US",
            "telephone_number": "515-244-9136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELZER",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-09313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison J Palecek, DMD
• Ashley Paulson, LMHC
• Jacob Pawol, PT, DPT, OCS
• Kendra Lynn Paye
• Michelle M Pearson, OT
• Inga Elisabeth Peterson
• Kelsey Pettitt, DC
• Andrew John Theodore Pierce, DC
• Jana Lynn Poock, DPM
• Positive Divineproviders LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.