Organization Active NPI

Des Moines Orthopaedic Surgeons PC

  • Durable Medical Equipment & Medical Supplies
  • Des Moines, IA
National Provider Identifier
1164853446
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DES MOINES ORTHOPAEDIC SURGEONS PC
Practice address
1301 Pennsylvania Ave
Ste 213
Des Moines, IA 50316-2365
Phone
(515) 263-9696
Fax
(515) 263-0233
NPI assigned
Dec 11, 2013
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DES MOINES ORTHOPAEDIC SURGEONS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Nicholas J HonkampNPI 1124077987
Title
President
Phone
(515) 224-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1301 Pennsylvania Ave
Ste 213
Des Moines, IA 50316-2365

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 IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140612000426 IA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0345141719 Practice locations: Des Moines, IA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Johnston Richard6 organizations share this tax ID, including this one
Part of
Johnston Richard

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 NE 36th St
Ankeny, IA 50021
Phone (515) 224-1414

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1164853446",
    "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",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE",
            "address_2": "STE 213",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162365",
            "telephone_number": "515-263-9696",
            "fax_number": "515-263-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES ORTHOPAEDIC SURGEONS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DES MOINES ORTHOPAEDIC SURGEONS PC",
        "enumeration_date": "2013-12-11",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HONKAMP",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-224-1414",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2014; 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.