JORDAN CREEK PEDIATRIC DENTISTRY, INC
NPI 1144413659
Dentist - Pediatric Dentistry in West Des Moines, IA

Q: What is Jordan Creek Pediatric Dentistry, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 20, 2007

1055 JORDAN CREEK PKWY, STE 110, WEST DES MOINES, IA 50266(515) 222-1800 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Jordan Creek Pediatric Dentistry, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN CREEK PEDIATRIC DENTISTRY, INC (NPI 1144413659) is a healthcare organization registered as a pediatric dentistry in West Des Moines, Iowa and active in the NPI registry since August 2007. The organization lists Robert R Burns, Pediatric Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1144413659

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameJORDAN CREEK PEDIATRIC DENTISTRY, INC

Location Address1055 JORDAN CREEK PKWY, STE 110West Des Moines, IA 50266-5821

Mailing Address1055 Jordan Creek Pkwy, Ste 110West Des Moines, IA 50266-5821

Phone(515) 222-1800

Organization SubpartNo

Authorized OfficialRobert R BurnsPediatric Dentist/owner · (515) 222-1800

Enumeration DateAugust 20, 2007

✔ NPI 1144413659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IA · 08344

Definition

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.

1055 JORDAN CREEK PKWY, West Des Moines, IA 50266

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY A SHOOK MD

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

1055 JORDAN CREEK PKWY, SUITE 100
WEST DES MOINES, IA 50266

Dallas County (515) 358-5450

MERCY CLINICS, INC.

Preventive Medicine (Occupational Medicine)

1055 JORDAN CREEK PKWY, STE 100
WEST DES MOINES, IA 50266

Dallas County (515) 358-5950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Creek Pediatric Dentistry, Inc's NPI number?

The NPI number for Jordan Creek Pediatric Dentistry, Inc is 1144413659. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Jordan Creek Pediatric Dentistry, Inc located?

Jordan Creek Pediatric Dentistry, Inc is located at 1055 Jordan Creek Pkwy Ste 110, West Des Moines, IA 50266. The listed phone number is (515) 222-1800.

What is Jordan Creek Pediatric Dentistry, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jordan Creek Pediatric Dentistry, Inc was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.