Active NPI
Franklin Family Practice, Inc.
- Family Medicine Physician
- Des Moines, IA
National Provider Identifier
1124398722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IA | ||
| Family Medicine Physician | 207Q00000X | IA | Primary | |
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124398722 | Medicaid | IA |
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
- 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.
-
- Point of Service
- West Des Moines, IA
- NPI 1609998137
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.