Active NPI
Steffany L Mohan, DDS
- General Practice Dentistry
- West Des Moines, IA
National Provider Identifier
1972670024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 07835
- Practice address
- 1089 Jordan Creek Parkway
Suite 100
West Des Moines, IA 50266 - Phone
- (515) 224-5999
- Fax
- (515) 224-5966
- NPI assigned
- Nov 30, 2006
- Last updated
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 07835 | IA | Primary |
Addresses
Primary practice location
1089 Jordan Creek Parkway
Suite 100
West Des Moines, IA 50266
Mailing address
1089 Jordan Creek Parkway
Suite 100
West Des Moines, IA 50266
Phone (515) 224-5999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0197160 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07835 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Better Des Moines LLC | General Practice | Current | Accepting new patients |
| Steffany L Mohan DDS PC | General Practice | Current | Accepting new patients |
| Steffany L Mohan DDS PC | Current | Accepting new patients |
Locations
1089 Jordan Creek Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 224-5999
Organizations & group practices 3
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.
-
dba Plaza Dental Group
- Dental Clinic/Center
- West Des Moines, IA
- NPI 1386801108
General Practice
-
dba Urbandale Smiles
- Durable Medical Equipment & Medical Supplies
- Urbandale, IA
- NPI 1487381299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1972670024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 JORDAN CREEK PARKWAY",
"address_2": "SUITE 100",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "515-224-5999",
"fax_number": "515-224-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 JORDAN CREEK PARKWAY",
"address_2": "SUITE 100",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "515-224-5999",
"fax_number": "515-224-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "STEFFANY",
"middle_name": "L",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "07835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0197160",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.