Individual provider Active NPI

Charles Robert Dunlop, SOCIAL WORK, LISW

  • Social Worker
  • West Des Moines, IA
National Provider Identifier
1215916523
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00914 Issued in IA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00914IAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 14, 2021 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.

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

Verify at the official NPI Registry.