Active NPI
Dallas County Iowa
- Public Health or Welfare Agency
- Adel, IA
National Provider Identifier
1083082606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- DALLAS COUNTY IOWA
- Practice address
- 25747 N Ave
Suite C
Adel, IA 50003-4420 - Phone
- (515) 993-3750
- Fax
- (515) 993-4949
- NPI assigned
- Sep 14, 2015
- Last updated
- Mar 3, 2023
- 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
- Amy Jo Short
- Title
- Public Health Program Coordinator
- Phone
- (515) 993-3750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
25747 N Ave
Suite C
Adel, IA 50003-4420
Mailing address
25747 N Ave
Suite C
Adel, IA 50003-4420
Phone (515) 993-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0670299 | Medicaid | IA |
Other names 1
- Dallas County Health Department
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the 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.
-
- Pediatrics Physician
- West Des Moines, IA
- NPI 1265929152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1083082606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25747 N AVE",
"address_2": "SUITE C",
"city": "ADEL",
"state": "IA",
"postal_code": "500034420",
"telephone_number": "515-993-3750",
"fax_number": "515-993-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25747 N AVE",
"address_2": "SUITE C",
"city": "ADEL",
"state": "IA",
"postal_code": "500034420",
"telephone_number": "515-993-3750",
"fax_number": "515-993-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS COUNTY IOWA",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-14",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "PUBLIC HEALTH PROGRAM COORDINATOR",
"authorized_official_telephone_number": "515-993-3750"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0670299",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dallas County Health Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Adel, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.