Individual provider Active NPI

Taylor James Den Hartog, MD

  • Orthopaedic Surgery Physician
  • West Des Moines, IA
National Provider Identifier
1124644828
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
57153 Issued in IA
Practice address
6001 Westown Pkwy
West Des Moines, IA 50266-7719
Phone
(515) 224-1414
NPI assigned
Jun 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 57153 IA
Orthopaedic Surgery Physician 207X00000X 57153 IA Primary

Addresses

Primary practice location

6001 Westown Pkwy
West Des Moines, IA 50266-7719

Mailing address

6001 Westown Pkwy
West Des Moines, IA 50266-7719
Phone (515) 224-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250626002679 GA Practitioner - Orthopedic Surgery 0042633687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Sanford School of Medicine of University of South Dakota, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Joint Surgery Specialists, LLCGroup PAC ID 2961795190, 46 clinicians

Practice addresses (Care Compare)

2000 Howard Farm Dr
Suite 200
Cumming, GA 30041-6081
Phone (770) 667-4337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104746GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Joint Surgery Specialists, LLC Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Northside Surgical Professional Services LLC Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 290
Alpharetta, GA 30005
Phone (770) 667-4343

2000 Howard Farm Dr
Ste 200
Cumming, GA 30041
Phone (770) 667-4337

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1124644828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667719",
            "telephone_number": "515-224-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667719",
            "telephone_number": "515-224-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEN HARTOG",
        "first_name": "TAYLOR",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IA",
            "license": "57153",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "57153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.