Organization Active NPI

Chris K Denouden, D.O., P.C.

  • Ophthalmology Physician
  • Des Moines, IA
National Provider Identifier
1063537587
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01711 Issued in IA
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

Updated by the provider on Aug 11, 2009

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0193847MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.