OrganizationActive
Shadow Creek Pediatric Dentistry, LLC
NPI 1538794516 · Dental Clinic/Center · Waukee, IA
Shadow Creek Pediatric Dentistry, LLC is a Dental Clinic/Center organization in Waukee, IA (NPI 1538794516).
Provider details
- NPI number
- 1538794516
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nancy Hammond, Owner(515) 480-1754
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
822 Ne Alices Rd
Waukee, IA 50263-8857
Phone: (515) 264-2772
Street-level locationGet directions
Mailing address
5910 Fairway Ct
West Des Moines, IA 50266-3851
Registry dates
- Enumerated
- 2020-03-10
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is Shadow Creek Pediatric Dentistry, LLC's NPI number?
- Shadow Creek Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1538794516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shadow Creek Pediatric Dentistry, LLC?
- Shadow Creek Pediatric Dentistry, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shadow Creek Pediatric Dentistry, LLC located?
- Shadow Creek Pediatric Dentistry, LLC's practice location on file with NPPES is 822 Ne Alices Rd, Waukee, IA 50263-8857.
- What is Shadow Creek Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shadow Creek Pediatric Dentistry, LLC is (515) 264-2772.
- Who is the authorized official for Shadow Creek Pediatric Dentistry, LLC?
- The authorized official listed on Shadow Creek Pediatric Dentistry, LLC's NPPES record is Nancy Hammond, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shadow Creek Pediatric Dentistry, LLC's NPI active?
- Yes — Shadow Creek Pediatric Dentistry, LLC's NPI (1538794516) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.