Des Moines Dental Care, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

08948 Issued in IA

Legal business name

DES MOINES DENTAL CARE, P.C.

Practice address

330 Laurel St
Suite 1400
Des Moines, IA 50314-3034

Phone

(515) 288-3543

Fax

(515) 288-7713

NPI assigned

May 11, 2017

Last updated

May 11, 2017By 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

Dr. Casey Jay Gremore, D.D.S.NPI 1205182250

Title

President

Phone

(563) 543-5834

Specialties & licenses 1

Addresses

Locations

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.

• Casey J Gremore, D.D.S.

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1205182250
  NPD (past) Authorized official
• Mark Donald Sloan, D.D.S.

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1194896431
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1831625714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST",
            "address_2": "SUITE 1400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143034",
            "telephone_number": "515-288-3543",
            "fax_number": "515-288-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST",
            "address_2": "SUITE 1400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143034",
            "telephone_number": "515-288-3543",
            "fax_number": "515-288-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GREMORE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-543-5834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravinder K Dervesh, MD
• Tripti Dervesh, DDS
• Des Moines Anesthesia and Pain Management
• Des Moines Anesthesiologists PC
• Des Moines Cardiology, PC
• Des Moines Dental Group
• Des Moines Independent Community School District
• Des Moines Internal Medicine PC
• Des Moines Medical Supplies
• Des Moines Midwife Collective LLC

• Dentist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.