IOWA ORAL AND MAXILLOFACIAL SURGEONS, PC (NPI# 1609846583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609846583 |
| Entity Type | Organization |
| Organization Name | IOWA ORAL AND MAXILLOFACIAL SURGEONS, PC |
| Practice Address |
1469 29th St West Des Moines IA 50266-1302 |
| Practice Telephone | 5152236529 |
| Practice Fax Number | 5152235448 |
| Mailing Telephone | 5152236529 |
| Mailing Fax Number | 5152235448 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2008-05-30 |
| Authorized Official Name | MS. DIANA GAIL WEIRICH (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 5153271647 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
06447 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICARE PTAN | 22178 | 01 |
| Street Address |
1469 29TH ST |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407260458 | Ashley Brooke Sunstrum | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2014-06-18 |
| 1346474376 | Joel Steven Reynolds | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2009-05-05 |
| 1487664710 | John Anthony Maletta | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2006-08-09 |
| 1851301196 | Neil Thomas Dunbar | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2006-08-09 |
| 1730199076 | Darren Rejman Jirsa | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2006-08-09 |
| 1235149584 | Steven Thomas Reynolds | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2006-08-09 |
| 1053355586 | Todd E. Nielsen | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053355586 | Todd E. Nielsen | Dentist | 1469 29th St, West Des Moines, IA 50266-1302 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821439175 | Ali Pourian | Dentist | 356 Dental Science S, University of Iowa, Iowa City, IA 52242-1001 | 2013-07-16 |
| 1609956234 | State University of Iowa | Dentist | 322 Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-10-17 |
| 1427152420 | Sherry Rene Timmons | Dentist | 386 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2006-09-11 |
| 1093150658 | Nidhi Q Handoo | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2013-05-08 |
| 1497002620 | Emily Anne Lanzel | Dentist | 386 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2012-08-07 |
| 1770838880 | Chandni Desai | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2012-07-16 |
| 1275732968 | Marie Eve Asselin | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2007-07-13 |
| 1396837050 | John W Hellstein | Dentist | 386 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2006-09-29 |
| 1013011022 | Steven Douglas Vincent | Dentist | 322 S Dental Science Bldg, Iowa City, IA 52242-1001 | 2006-09-11 |
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on IOWA ORAL AND MAXILLOFACIAL SURGEONS, PC.
| 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.