Healthcare Provider Details

I. General information

NPI: 1831735349
Provider Name (Legal Business Name): JAMES CHOLEWA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 DOUGLAS AVE
DES MOINES IA
50310-2747
US

IV. Provider business mailing address

4539 DOUGLAS AVE
DES MOINES IA
50310-2747
US

V. Phone/Fax

Practice location:
  • Phone: 515-850-5131
  • Fax: 515-850-3689
Mailing address:
  • Phone: 515-850-5131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number10065
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: