Organization Active NPI

Pediatric Dentistry of Central Iowa PLLC

  • Pediatric Dentistry
  • West Des Moines, IA
National Provider Identifier
1992661011
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTISTRY OF CENTRAL IOWA PLLC
Practice address
1000 73Rd St Ste 10
West Des Moines, IA 50265-1321
Phone
(515) 223-1298
NPI assigned
Jan 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Mr. Lucas Bland
Title
Coo
Phone
(515) 577-6367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1000 73Rd St Ste 10
West Des Moines, IA 50265-1321

Mailing address

1000 73Rd St Ste 10
West Des Moines, IA 50265-1321
Phone (515) 223-1298

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1767312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1992661011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 73RD ST STE 10",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651321",
            "telephone_number": "515-223-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 73RD ST STE 10",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651321",
            "telephone_number": "515-223-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF CENTRAL IOWA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-577-6367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 2, 2026; 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.