PEDIATRIC DENTISTRY OF CENTRAL IOWA, P.C. (NPI# 1275618886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275618886 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF CENTRAL IOWA, P.C. |
| Other Organization Name | PEDIATRIC DENTISTRY |
| Practice Address |
1000 73rd St Suite 10 Des Moines IA 50324-1321 |
| Practice Telephone | 5152231298 |
| Practice Fax Number | 5152231959 |
| Mailing Telephone | 5152231298 |
| Mailing Fax Number | 5152231959 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-07-12 |
| Authorized Official Name | DR. VINCENT W. MANCUSO JR. (PRESIDENT) |
| Authorized Official Telephone | 5152231298 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
IA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
1000 73RD ST SUITE 10 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50324-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194777854 | Joseph A Barsetti | Dentist | 1000 73rd St, Ste 10, Des Moines, IA 50311 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396262291 | Nuspine IIi Inc. | Chiropractor | 7241 Apple Valley Drive, Windsor Heights, IA 50324 | 2017-08-23 |
| 1396921508 | Elisabeth Lee Jones | Nurse Practitioner | 7700 Hickman Road, Windsor Heights, IA 50324 | 2008-01-17 |
| 1932630167 | Brown Therapy Resources LLC | Community/Behavioral Health | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2017-03-21 |
| 1891230447 | Rebecca Lake | Chiropractor | 974 73rd St, #40, Windsor Heights, IA 50324-1024 | 2017-01-05 |
| 1851643019 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50324-1024 | 2012-10-11 |
| 1477709228 | Kevin Scott Brown | Counselor | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2008-08-13 |
| 1598899155 | Barry R Svec | Dentist | 974 73rd St, Suite #4, Windsor Heights, IA 50324-1024 | 2007-03-15 |
| 1184787343 | Heartland Vascular Medicine and Surgery PC | Surgery | 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 | 2006-12-19 |
| 1750474318 | Myrie & Associates | Surgery | 974 73rd St, Suite 25, Windsor Heights, IA 50324-1024 | 2006-10-02 |
| 1427004464 | Alan Russell Koslow | Surgery | 974 73rd St, Suite 23, Windsor Heights, IA 50324-1024 | 2006-05-25 |
| Find all providers in zip 50324 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043507890 | Molly Bremen | Dentist | 7600 Fleur Dr, Des Moines, IA 50321-3111 | 2011-06-30 |
| 1699726414 | Thomas G Wilson | Dentist | 8515 Douglas Ave, Ste 26, Des Moines, IA 50322 | 2006-05-15 |
| 1275583809 | Denise Nicole Evans | Dentist | 8515 Douglas Avenue, Ste 26, Des Moines, IA 50322 | 2006-05-12 |
| 1194777854 | Joseph A Barsetti | Dentist | 1000 73rd St, Ste 10, Des Moines, IA 50311 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681897 | The Children's Dental Center, Pllc | Dentist | 2761 Oakdale Blvd Ste 4, Coralville, IA 52241-9754 | 2020-05-21 |
| 1659934701 | Grimes Pediatric Dentistry P C | Dentist | 1551 Se 3rd St Ste 100, Grimes, IA 50111-8861 | 2019-04-15 |
| 1215316633 | Kaitlin Joy Hoogeveen | Dentist | 164 S Main Ave, Sioux Center, IA 51250-1536 | 2015-05-19 |
| 1760801062 | Diana Pelzer | Dentist | 1250 Se University Ave, Waukee, IA 50263-8831 | 2014-04-15 |
| 1245656800 | Iowa Pediatric Dental Center II LLC | Dentist | 5350 Kirkwood Blvd Sw, Suite 700, Cedar Rapids, IA 52404-5233 | 2014-03-06 |
| 1528483716 | Peter Joseph Stanley | Dentist | 201 Dental Science Bldg S., Iowa City, IA 52242-1001 | 2014-02-24 |
| 1821433160 | Nicholas Wade Barnard | Dentist | 4090 Westown Pkwy Ste B1, West Des Moines, IA 50266 | 2013-04-30 |
| 1962745471 | Samuel Christensen | Dentist | 2575 N Ankeny Blvd Ste 205, Ankeny, IA 50023-4710 | 2013-04-03 |
| 1477818326 | Julie Ann Smith | Dentist | 800 E 1st St Ste 2800, Ankeny, IA 50021-2077 | 2012-07-06 |
| 1497067698 | Sarah Elizabeth Swenson | Dentist | 1962 1st Avenue Ne, Cedar Rapids, IA 52402-5334 | 2010-07-06 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.