DENTISTRY ON 5TH (NPI# 1588082739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588082739 |
| Entity Type | Organization |
| Organization Name | DENTISTRY ON 5TH |
| Practice Address |
505 5th Ave Suite 939 Des Moines IA 50309-2324 |
| Practice Telephone | 5152434616 |
| Mailing Telephone | 5152434616 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |
| Authorized Official Name | LEANN KIM SOU (OFFICE MANAGER) |
| Authorized Official Telephone | 5152434616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
08950 | IA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
08454 | IA | Dental Providers |
| Street Address |
505 5TH AVE SUITE 939 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124456454 | David Scot Winterton | Counselor | 505 5th Ave, Suite 600, Des Moines, IA 50309-2324 | 2013-10-23 |
| 1487201158 | Katherine Nucaro | Social Worker | 505 5th Ave, Des Moines, IA 50309-2324 | 2019-08-19 |
| 1871052613 | Sarah Madojemu | Counselor | 505 5th Ave, Des Moines, IA 50309-2324 | 2019-03-19 |
| 1922576560 | Alexandra Renee Maiers | Counselor | 505 5th Ave, Des Moines, IA 50309-2324 | 2018-11-12 |
| 1477917185 | Laura M Johnson-palomares | Counselor | 505 5th Ave, Suite 600, Des Moines, IA 50309 | 2016-04-08 |
| 1316329196 | Lori Hancock-muck | Counselor | 505 5th Ave, Ste.600, Des Moines, IA 50309-2324 | 2015-06-29 |
| 1316378490 | Richard Harris Muselman | Counselor | 505 5th Ave, Suite 600, Des Moines, IA 50309-2324 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164901203 | Anisha Cheruvillil | Dentist | 1200 University Ave Ste 100, Des Moines, IA 50314-2355 | 2018-08-09 |
| 1811474927 | Downtown Smiles | Dentist | 505 5th Ave Ste 939, Des Moines, IA 50309-2316 | 2018-07-20 |
| 1659801546 | Hayley Ann Faley | Dentist | 6150 Se 14th St Ste B, Des Moines, IA 50320-1719 | 2017-06-14 |
| 1174063010 | Waveland Family Dental | Dentist | 4232 University Ave, Des Moines, IA 50311-3422 | 2017-02-25 |
| 1720522360 | Cheng Shao Anwar Pllc | Dentist | 27041 Pacific Hwy S, Des Moines, WA 98198-9250 | 2016-12-16 |
| 1811367972 | Jason Sinhee Hong | Dentist | 4730 Sw 9th St, Des Moines, IA 50315-3973 | 2015-10-01 |
| 1649651795 | Laura Wilmes Brown | Dentist | 5921 Se 14th St Ste 1500, Des Moines, IA 50320-1760 | 2015-06-15 |
| 1114337276 | Walid Abdel Fatah, Dds, PC | Dentist | 3737 Merle Hay Rd, Des Moines, IA 50310-1239 | 2014-04-29 |
| 1962708743 | Poojitha Chandrasekhar | Dentist | 4930 Se 14th St, Des Moines, IA 50320-1604 | 2011-01-27 |
| 1407006752 | Paula Ann Stepp | Dentist | 22506 Marine View Dr. S Unit 101, Des Moines, WA 98198 | 2008-09-23 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on DENTISTRY ON 5TH.
| 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.