John Paul Cavanaugh, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8124 Issued in IA

Practice address

1212 Pleasant St
Suite 102
Des Moines, IA 50309-1414

Phone

(515) 243-5070

Fax

(515) 243-2029

NPI assigned

Jun 11, 2008

Sex

Male

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

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

• Applewhite Dental Iowa PC

  dba Methodist Plaza Dental Group

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1548820368
  NPD (past)
• Methodist Plaza Dental GRP

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1568595833
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1932369162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST",
            "address_2": "SUITE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091414",
            "telephone_number": "515-243-5070",
            "fax_number": "515-243-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST",
            "address_2": "SUITE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091414",
            "telephone_number": "515-243-5070",
            "fax_number": "515-243-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Health Initiatives-Iowa Corp. (Mercy Specialty Care Pharmacy)
• Catholic Health Initiatives, Ia-Corp (Mercy Medical Mammography Center)
• Gina Caton, LMSW
• Mone Cavan
• Margaret Rose Cavanagh, PTA
• Mikaela Lynn Cave
• Azra Cavlovic, ARNP
• Paulene Cay
• Celebraces Highland Park PLLC
• Center for Behavioral Health Iowa LLC

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.