RICK NELSON ENDODONTIC PC (NPI# 1972760916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972760916 |
| Entity Type | Organization |
| Organization Name | RICK NELSON ENDODONTIC PC |
| Practice Address |
974 73rd St Suite 18 Windsor Heights IA 50312-1024 |
| Mailing Address |
974 73rd Street Suite 18 Windsor Heights IA 50312-1026 |
| Practice Telephone | 5152230602 |
| Practice Fax Number | 5152237346 |
| Mailing Telephone | 5152230602 |
| Mailing Fax Number | 5152237346 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | MR. RICKY DEAN NELSON (PRESIDENT) |
| Authorized Official Telephone | 5152230602 |
| Authorized Official Credential | DDS,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 06911 | IA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | TYPE 1 NPI# | 1922095983 | 01 |
| Street Address |
974 73RD ST SUITE 18 |
| City | WINDSOR HEIGHTS |
| State | IA |
| Zip Code | 50312-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429403 | Praveen Chandra Prasad | Surgery | 974 73rd St, Suite 25, Windsor Heights, IA 50312-1024 | 2005-07-01 |
| 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 |
| 1124216882 | Kelly Jesica Pearson | Nurse Practitioner | 974 73rd St, Windsor Heights, IA 50312-1024 | 2007-10-09 |
| 1891990271 | Rachelle L Gammon | Pediatrics | 974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 | 2007-06-18 |
| 1811108749 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50312-1026 | 2007-05-24 |
| 1093922940 | William L Pearce Jr.,dds,pc | Dentist | 974 73rd St, Suite37, Windsor Heights, IA 50312-1024 | 2007-05-17 |
| 1598899155 | Barry R Svec | Dentist | 974 73rd St, Suite #4, Windsor Heights, IA 50324-1024 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1700312337 | Kj Hearing LLC | Preferred Provider Organization | 116 1st Ave N, Ste C, Altoona, IA 50009-1425 | 2017-05-02 |
| 1477095099 | Central Iowa Chiropractic, LLC | Preferred Provider Organization | 107 Hwy 69, Suite 2, Huxley, IA 50124-0095 | 2016-11-14 |
| 1447598719 | Ideal Chiropractic Health Center LLC | Preferred Provider Organization | 2200 Jfk Rd, Suite 100, Dubuque, IA 52002-2840 | 2013-01-22 |
| 1366691594 | Ultimate Hearing Inc | Preferred Provider Organization | 12871 University Ave Ste 120, Clive, IA 50325-8256 | 2008-09-11 |
| 1770743130 | New Horizons Recovery Center | Preferred Provider Organization | 705 Douglas St Ste 315, Sioux City, IA 51101-1044 | 2008-06-10 |
| 1316113061 | Advanced Chiropractic | Preferred Provider Organization | 1851 Madison Ave Ste 550, Council Bluffs, IA 51503-3606 | 2008-05-02 |
| 1215328885 | Acutechiro, LLC | Preferred Provider Organization | 117 S 4th St, Forest City, IA 50436-1743 | 2015-02-18 |
| 1962811091 | Abbie J Otto Dds PC | Preferred Provider Organization | 128 S Main St, Holstein, IA 51025-5018 | 2014-08-02 |
| 1245415470 | Madison Square Assisted Living | Preferred Provider Organization | 209 W Jefferson St, Winterset, IA 50273-1676 | 2008-01-07 |
| 1912189408 | Houg Chiropractic PC | Preferred Provider Organization | 107 Rossville Rd, Waukon, IA 52172-1935 | 2007-11-27 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR HEIGHTS |
| Zip Code | 50312 |
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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.