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Shadow Creek Pediatric Dentistry of Waukee LLC

Pediatric Dentistry in Waukee, IA · enumerated 2026 · authorized official Lucas Bland, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417867946

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Registry record

Entity type Organization (Type 2)
Legal business name Shadow Creek Pediatric Dentistry of Waukee LLC
Practice address 822 Ne Alices Rd, Waukee, IA, 50263
Phone (515) 264-2772
Enumeration date Sep 8, 2026
Last updated in NPPES Sep 8, 2026

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Lucas Bland
Title Coo
Phone (515) 577-6367

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Shadow Creek Pediatric Dentistry of Waukee LLC?
Shadow Creek Pediatric Dentistry of Waukee LLC is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-08.