Organization Active NPI

Moving Mountains Developmental Disability Services, LLC

  • Developmental Disabilities Clinic/Center
  • West Des Moines, IA
National Provider Identifier
1013725605
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MOVING MOUNTAINS DEVELOPMENTAL DISABILITY SERVICES, LLC
Practice address
2019 Crown Flair Dr
West Des Moines, IA 50265-3331
Phone
(402) 812-6676
NPI assigned
Dec 27, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Katrina J HarrisNPI 1730904665
Title
Owner
Phone
(402) 812-6676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2019 Crown Flair Dr
West Des Moines, IA 50265-3331

Mailing address

4595 N 190TH Ave
Elkhorn, NE 68022-4685
Phone (402) 812-6676

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1013725605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 N 190TH AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224685",
            "telephone_number": "402-812-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 CROWN FLAIR DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653331",
            "telephone_number": "402-812-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING MOUNTAINS DEVELOPMENTAL DISABILITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-812-6676",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.