Organization Active NPI

Franklin Family Practice, Inc.

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1124398722
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRANKLIN FAMILY PRACTICE, INC.
Practice address
4908 Franklin Ave
Des Moines, IA 50310-1901
Phone
(515) 280-4930
Fax
(515) 309-0686
NPI assigned
Jan 12, 2012
Organization subpart
Yes
Parent organization
UNITED COMMUNITY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Mr. Mike Polich
Title
Chief Executive Officer
Phone
(515) 280-3860

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X IA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IA Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X IA

Addresses

Primary practice location

4908 Franklin Ave
Des Moines, IA 50310-1901

Mailing address

2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974

Other identifiers 1

IdentifierTypeStateIssuer
1124398722MedicaidIA

National Provider Directory

National Provider Directory
Part of
United Community Serv Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

813 N Lincoln St
Ste 15
Knoxville, IA 50138
Phone (641) 842-2717

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ucsonline/r4/

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1124398722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 FRANKLIN AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101901",
            "telephone_number": "515-280-4930",
            "fax_number": "515-309-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN FAMILY PRACTICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED COMMUNITY SERVICES, INC.",
        "enumeration_date": "2012-01-12",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "POLICH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "515-280-3860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124398722",
            "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 May 23, 2016; 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.