Chris K Denouden, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01711 Issued in IA

Practice address

1300 Des Moines St
Ste 103
Des Moines, IA 50309-5502

Phone

(515) 266-5353

Fax

(515) 266-2216

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1073626941",
    "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": {
        "last_name": "DENOUDEN",
        "first_name": "CHRIS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "01711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0718900001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CEDI",
            "identifier": "1073626941",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193847",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Home Healthcare Services L.L.C.
• David Dennis, DO
• Melissa Dennis, CADC
• Sarah L. Dennis, RN
• Susan Dennis, RN
• Leah Denson
• Dental Associates 2
• Dental Connections, Inc.
• Dental Connections, Inc.
• Dental Connections, Inc.

• Ophthalmology Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Ophthalmology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.