BROADLAWNS MEDICAL CENTER DENTAL CLINIC
NPI 1609848878
Dentist in Des Moines, IA

Q: What is Broadlawns Medical Center's NPI number?

The NPI number for Broadlawns Medical Center is 1609848878. It was assigned to this organization in the NPPES registry on February 2, 2006. The provider is also known as Broadlawns Medical Center Dental Clinic.

Q: What is Broadlawns Medical Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 02, 2006

1801 HICKMAN RD, DES MOINES, IA 50314(515) 282-2421 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Broadlawns Medical Center Dental Clinic NPPES

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

BROADLAWNS MEDICAL CENTER DENTAL CLINIC (NPI 1609848878) is a healthcare organization registered as a dentist in Des Moines, Iowa and active in the NPI registry since February 2006. The organization lists Vincent J Mandracchia, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1609848878

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBROADLAWNS MEDICAL CENTER

Location Address1801 HICKMAN RDDes Moines, IA 50314-1505

Mailing Address1801 Hickman RoadDes Moines, IA 50314-1505 · (515) 282-2421

Phone(515) 282-2421

Organization SubpartNo

Authorized OfficialVincent J MandracchiaChief Medical Officer · (515) 282-2562

Enumeration DateFebruary 2, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1609848878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IA · 07724

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1801 HICKMAN RD, Des Moines, IA 50314

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Other Names 1

Other NameBroadlawns Medical Center Dental Clinic

Other Identifiers 6

Other2601013IA · Iowa Care

Medicaid0066068IA

Other20023IA · Tricare

Other6230290IA · Aetna

OtherA5031401IA · John Deere Uhc River Vall

Other29705IA · Coventry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

MATTHEW HELMICK WILLIAMS D.O.

Family Medicine

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5640

ALEX YEONWOO KIM DO

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

CAMERON MATTHIAS GREINER DO

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

MARK DYKEN MD

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

KELLI GREEN MD

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314

Polk County (515) 282-2319

KATRINA COEN

Pharmacist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2378

NICOLE RENEE SLIVA OTR/L

Occupational Therapist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5621

GARY HUDSON PA-C

Physician Assistant

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2319

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 Broadlawns Medical Center's NPI number?

The NPI number for Broadlawns Medical Center is 1609848878. It was assigned to this organization in the NPPES registry on February 2, 2006. The provider is also known as Broadlawns Medical Center Dental Clinic.

Where is Broadlawns Medical Center located?

Broadlawns Medical Center is located at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (515) 282-2421.

What is Broadlawns Medical Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Broadlawns Medical Center accept?

Health plans from UnitedHealthcare list Broadlawns Medical Center 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 Broadlawns Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.