Dale M. Grunewald DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DALE M. GRUNEWALD DO PC

Practice address

230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176

Phone

(515) 471-1800

Fax

(515) 471-1801

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dale M Grunewald, D.O.NPI 1871595207

Title

President and Ceo

Phone

(515) 237-3974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dale Miller Grunewald, D.O.

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1871595207
  Medicare reassignment NPD Authorized official
• Basil S. Hassan, MD

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1932180437
  NPD
• Dawn Marie Schissel, MD

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1396730412
  NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104879170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST",
            "address_2": "SUITE 1203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-471-1800",
            "fax_number": "515-471-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST",
            "address_2": "SUITE 1203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-471-1800",
            "fax_number": "515-471-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE M. GRUNEWALD DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUNEWALD",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "515-237-3974",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeawon Dahn, RBT
• Dailex Community Living
• Dailey Growth Counseling, LLC
• Madelynn Dailey, TLMHC
• Laura Lee Dakovich, DO
• Brianna Jean Damstetter, ARNP
• Susmitha Dande, MD
• Melissa Alex Daniel, PA-S
• Molly Quinn Daniel, PSY.D.
• Stacie Marie Daniels

• Family Medicine Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.