Healthcare Provider Details

I. General information

NPI: 1831690072
Provider Name (Legal Business Name): SHERRI CHYI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 9TH ST STE 190
DES MOINES IA
50314
US

IV. Provider business mailing address

1111 9TH ST STE 190
DES MOINES IA
50314-2527
US

V. Phone/Fax

Practice location:
  • Phone: 515-244-9136
  • Fax:
Mailing address:
  • Phone: 515-244-9136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS-09569
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2901601873
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: