Organization Active NPI

Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
National Provider Identifier
1043979842
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OPENLOOP HEALTHCARE PARTNERS PC
Practice address
317 6TH Ave Ste 400
Des Moines, IA 50309-4108
Phone
(515) 216-0962
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Jamie Terrero
Title
Sr. Director of Provider Data Mngmt
Phone
(201) 667-5568

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

317 6TH Ave Ste 400
Des Moines, IA 50309-4108

Mailing address

317 6TH Ave Ste 400
Des Moines, IA 50309-4108
Phone (515) 216-0962

National Provider Directory

National Provider Directory

Locations

128 State St
Augusta, ME 04330

121 Washington Ave N
Ste 234
Minneapolis, MN 55401

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25364/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1043979842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 6TH AVE STE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094108",
            "telephone_number": "515-216-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 6TH AVE STE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094108",
            "telephone_number": "515-216-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENLOOP HEALTHCARE PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "TERRERO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PROVIDER DATA MNGMT",
        "authorized_official_telephone_number": "201-667-5568"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.