INDIAN CREEK DENTAL
NPI 1578823423
Dentist - General Practice in Marion, IA
About Indian Creek Dental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDIAN CREEK DENTAL (NPI 1578823423) is a healthcare organization registered as a general practice in Marion, Iowa and active in the NPI registry since May 2012. The organization lists James Walker, Owner/dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Indian Creek Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Indian Creek Dental, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Indian Creek Dental's NPI number?
The NPI number for Indian Creek Dental is 1578823423. It was assigned to this organization in the NPPES registry on May 25, 2012.
Where is Indian Creek Dental located?
Indian Creek Dental is located at 601 Tama St, Marion, IA 52302. The listed phone number is (319) 366-2451.
What is Indian Creek Dental's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Indian Creek Dental enrolled in Medicare?
Yes. Indian Creek Dental is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Indian Creek Dental?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Indian Creek Dental. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Indian Creek Dental was last updated on May 4, 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.
# Indian Creek Dental · NPI 1578823423
General Practice organization in Marion, Iowa. Organization record, active in the CMS NPPES registry since May 25, 2012.
## Identity
- **NPI:** 1578823423 (Entity type: Organization)
- **Enumerated:** May 25, 2012
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** James Walker, OWNER/DENTIST
## Practice location
- **Address:** 601 TAMA ST, Marion, IA 52302-4804
- **Phone:** (319) 366-2451 · **Fax:** (319) 366-1602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2020
- **Other identifiers:** Medicaid 1447340815 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1578823423) · Data from the CMS NPPES public registry.