NPIMap

Organization Active NPI

Ocean Dental of Iowa

  • General Practice Dentistry
  • Des Moines, IA
National Provider Identifier
1801919576
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OCEAN DENTAL OF IOWA
Practice address
1345 E University Ave # 302
Des Moines, IA 50316-2461
Phone
(515) 264-9022
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Dr. Chad B. Hoecker, DDS
Title
Owner
Phone
(405) 707-0600

Specialties & licenses 1

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

Addresses

Primary practice location

1345 E University Ave # 302
Des Moines, IA 50316-2461

Mailing address

209 Lilac Dr Ste 120
Edmond, OK 73034-7206
Phone (405) 707-6142

Other identifiers 1

IdentifierTypeStateIssuer
0766949MedicaidIA

National Provider Directory

National Provider Directory

Locations

1345 E University Ave
Des Moines, IA 50316
Phone (515) 264-9022

1345 E University Ave
#302
Des Moines, IA 50316
Phone (515) 264-9022

209 Lilac Dr
Ste 120
Edmond, OK 73034

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1801919576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LILAC DR STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347206",
            "telephone_number": "405-707-6142",
            "fax_number": "405-707-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E UNIVERSITY AVE # 302",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162461",
            "telephone_number": "515-264-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN DENTAL OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "HOECKER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-707-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766949",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 21, 2022; 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.