Active NPI
Charles Robert Dunlop, SOCIAL WORK, LISW
- Social Worker
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00914
- Practice address
- 6000 University Ave
Counseling Centers for Central Iowa
West Des Moines, IA 50266 - Phone
- (515) 241-2300
- Fax
- (515) 241-2305
- NPI assigned
- Jan 13, 2006
- Reactivated
- Jul 27, 2010
- Last updated
- Oct 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00914 | IA | Primary |
Addresses
Primary practice location
6000 University Ave
Counseling Centers for Central Iowa
West Des Moines, IA 50266
Mailing address
6000 University Ave
Counseling Centers for Central Iowa
West Des Moines, IA 50266
Phone (515) 241-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00914 | IA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Superior Health Care | Past | Accepting new patients | |
| Trinity Medical Center | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
233 University Ave
Des Moines, IA 50314
Phone (515) 284-1280
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
6000 University Ave
Ste 200
West Des Moines, IA 50266
Phone (515) 241-2300
6600 Westown Pkwy
Ste 200
West Des Moines, IA 50266
Phone (515) 283-1221
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Professional Counselor
- West Des Moines, IA
- NPI 1144388414
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1215916523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 UNIVERSITY AVE",
"address_2": "COUNSELING CENTERS FOR CENTRAL IOWA",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "515-241-2300",
"fax_number": "515-241-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 UNIVERSITY AVE",
"address_2": "COUNSELING CENTERS FOR CENTRAL IOWA",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "515-241-2300",
"fax_number": "515-241-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLOP",
"first_name": "CHARLES",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "SOCIAL WORK, LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2010-10-22",
"deactivation_date": "2006-06-15",
"reactivation_date": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "00914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.