SHADOW CREEK PEDIATRIC DENTISTRY, LLC (NPI# 1538794516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538794516 |
| Entity Type | Organization |
| Organization Name | SHADOW CREEK PEDIATRIC DENTISTRY, LLC |
| Practice Address |
822 Ne Alices Rd Waukee IA 50263-8857 |
| Mailing Address |
5910 Fairway Ct West Des Moines IA 50266-3851 |
| Practice Telephone | 5152642772 |
| Mailing Telephone | 5154801754 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | DR. NANCY I HAMMOND (OWNER) |
| Authorized Official Telephone | 5154801754 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
822 NE ALICES RD |
| City | WAUKEE |
| State | IA |
| Zip Code | 50263-8857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245288406 | Nancy I Hammond | Dentist | 822 Ne Alices Rd, Waukee, IA 50263-8857 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427618032 | Blake Michael Louscher | Dentist | 2505 Se Encompass Drive, Waukee, IA 50263 | 2019-06-17 |
| 1407377344 | Fusion Foot and Ankle, LLC | Podiatrist | 110 Us Hwy 6 Suite 80, Waukee, IA 50263 | 2017-06-30 |
| 1912317645 | Jennifer Brezina | Counselor | 14225 University Ave Ste 120, Waukee, IA 50263 | 2014-05-02 |
| 1356782668 | Hy Vee Inc | Pharmacy | 1005 East Hickman, Waukee, IA 50263 | 2013-07-15 |
| 1639414741 | Erin Good | Dietitian, Registered | 1005 East Hickman Road, Waukee, IA 50263 | 2012-11-29 |
| 1407138084 | Advantages In Life Inc | In Home Supportive Care | 670 Elm, Waukee, IA 50263 | 2011-09-09 |
| 1669601951 | Deepika Verma | Dentist | 115 Se Telby Ln, Waukee, IA 50263 | 2009-07-07 |
| 1205046778 | Lori Walton | Speech-Language Pathologist | 31805 Silverado Lane, Waukee, IA 50263 | 2007-05-23 |
| 1891915245 | Signature Properties of Waukee, LLC | Skilled Nursing Facility | 1645 Se Holiday Crest Circle, Waukee, IA 50263 | 2007-04-26 |
| 1598818981 | Oswald Family Chiropractic PC | Chiropractor | 450 Se University Ave, Waukee, IA 50263 | 2007-01-19 |
| Find all providers in zip 50263 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253068 | Wright County Family Dental | Clinic/Center | 1403 Central Ave W, Clarion, IA 50525-7707 | 2020-10-23 |
| 1497371397 | Carlisle Family Dentistry Pllc | Clinic/Center | 2800 Norgard Cir Ste 200, Carlisle, IA 50047-8000 | 2020-06-17 |
| 1457996365 | Dentistry for Children of Iowa 2, Pllc | Clinic/Center | 1738 Lininger Ln, North Liberty, IA 52317-2316 | 2019-11-14 |
| 1235784992 | E. Joseph Lenz Dds PC Family Dentistry | Clinic/Center | 890 7th Ave, Marion, IA 52302-5747 | 2019-08-08 |
| 1114490794 | Abbadent Dental LLC | Clinic/Center | 3430 Dodge St Unit 21, Dubuque, IA 52003-5218 | 2019-01-07 |
| 1952819369 | Jared P. Sass D.d.s Plc | Clinic/Center | 6800 Lake Dr Ste 290, West Des Moines, IA 50266-2544 | 2018-01-19 |
| 1114439429 | Stuart Family Dental PC | Clinic/Center | 303 Se 7th Street, Suite D, Stuart, IA 50250 | 2017-10-26 |
| 1881129906 | Indian Hills Community College Dental Hygiene Clinic | Clinic/Center | 525 Grandview Ave, Ottumwa, IA 52501-1359 | 2017-04-26 |
| 1336511120 | Kathryn A. Kell Dds PC | Clinic/Center | 1751 E 54th St, Davenport, IA 52807-2769 | 2015-10-20 |
| 1164807145 | Bradley Scott Williams D.d.s. | Clinic/Center | 205 S 16th St, Clarinda, IA 51632-2107 | 2015-07-20 |
| Find all providers with the same taxonomy | ||||
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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.