Active NPI
Harbor View Medical Services LLC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Des Moines, IA
National Provider Identifier
1194108209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- HARBOR VIEW MEDICAL SERVICES LLC
- Doing business as
- Regenexx Des Moines
- Practice address
- 6151 Thornton Ave Ste 200
Des Moines, IA 50321-2413 - Phone
- (855) 633-2489
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Conway
- Title
- Coo
- Phone
- (515) 974-7487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary |
Addresses
Primary practice location
6151 Thornton Ave Ste 200
Des Moines, IA 50321-2413
Mailing address
6151 Thornton Ave Ste 200
Des Moines, IA 50321-2413
Other names 1
- Regenexx Des Moines
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Rochester, MN
- NPI 1669400024
IA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681948800000",
"number": "1194108209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 THORNTON AVE STE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503212413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 THORNTON AVE STE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503212413",
"telephone_number": "855-633-2489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR VIEW MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A",
"authorized_official_last_name": "CONWAY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "515-974-7487"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Regenexx Des Moines",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 20, 2023; 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.