Active NPI
Chris K Denouden, D.O., P.C.
- Ophthalmology Physician
- Des Moines, IA
National Provider Identifier
1063537587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01711
- Legal business name
- CHRIS K DENOUDEN, D.O., P.C.
- Practice address
- 1300 Des Moines St
Ste 103
Des Moines, IA 50309-5502 - Phone
- (515) 266-5353
- Fax
- (515) 266-2216
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Denouden
- Title
- Owner
- Phone
- (515) 266-5353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01711 | IA | Primary |
Addresses
Primary practice location
1300 Des Moines St
Ste 103
Des Moines, IA 50309-5502
Mailing address
1300 Des Moines St
Ste 103
Des Moines, IA 50309-5502
Phone (515) 266-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0193847 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
1300 Des Moines St
Ste 103
Des Moines, IA 50309
Phone (515) 266-5353
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Des Moines, IA
- NPI 1306860077
-
- Optometrist
- Clive, IA
- NPI 1962693028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249948800000",
"number": "1063537587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 DES MOINES ST",
"address_2": "STE 103",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503095502",
"telephone_number": "515-266-5353",
"fax_number": "515-266-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 DES MOINES ST",
"address_2": "STE 103",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503095502",
"telephone_number": "515-266-5353",
"fax_number": "515-266-2216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIS K DENOUDEN, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2009-08-11",
"status": "A",
"authorized_official_last_name": "DENOUDEN",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-266-5353"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IA",
"license": "01711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0193847",
"state": "IA"
}
],
"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 Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.