SHADOW CREEK PEDIATRIC DENTISTRY, LLC
NPI 1538794516
Clinic/Center - Dental in Waukee, IA

Active since March 10, 2020
822 NE ALICES RD, WAUKEE, IA 50263(515) 264-2772 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shadow Creek Pediatric Dentistry, Llc NPPES

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

SHADOW CREEK PEDIATRIC DENTISTRY, LLC (NPI 1538794516) is a healthcare organization registered as a dental in Waukee, Iowa and active in the NPI registry since March 2020. The organization lists Nancy I Hammond, Owner, as its authorized official.

NPPES Registry Identity

NPI1538794516
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHADOW CREEK PEDIATRIC DENTISTRY, LLC
Location Address822 NE ALICES RDWaukee, IA 50263-8857
Mailing Address5910 Fairway CtWest Des Moines, IA 50266-3851 · (515) 480-1754
Organization SubpartNo
Authorized OfficialNancy I HammondOwner · (515) 480-1754
Enumeration DateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
NPI 1538794516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
822 NE ALICES RD, Waukee, IA 50263

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
822 NE ALICES RD
WAUKEE, IA 50263

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 Shadow Creek Pediatric Dentistry, LLC's NPI number?

The NPI number for Shadow Creek Pediatric Dentistry, LLC is 1538794516. It was assigned to this organization in the NPPES registry on March 10, 2020.

Where is Shadow Creek Pediatric Dentistry, LLC located?

Shadow Creek Pediatric Dentistry, LLC is located at 822 NE Alices Rd, Waukee, IA 50263. The listed phone number is (515) 264-2772.

What is Shadow Creek Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Shadow Creek Pediatric Dentistry, LLC accept?

Health plans from UnitedHealthcare list Shadow Creek Pediatric Dentistry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadow Creek Pediatric Dentistry, LLC was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.