Donner Dewdney, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

18515 Issued in IA

Practice address

939 Office Park Rd
Ste 200
West Des Moines, IA 50265-2538

Phone

(515) 288-5570

Fax

(515) 440-3388

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eyerly Ball Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Des Moines, IA
  • NPI 1982657490
  Medicare reassignment NPD
• Eyerly Ball Community Mental Health Services

  • Community Health Clinic/Center
  • Des Moines, IA
  • NPI 1598514895
  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215964796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD",
            "address_2": "STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652505",
            "telephone_number": "515-288-5570",
            "fax_number": "515-440-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD",
            "address_2": "STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652538",
            "telephone_number": "515-288-5570",
            "fax_number": "515-440-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWDNEY",
        "first_name": "DONNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "18515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "01431",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "14965",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014316",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "42105384450265A011",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Devereaux, RD
• Isabelle Devnich
• Megan Jo Devore, LMFT
• Anna Marie Dewaay, P.T.
• Matthew J Dewall, M.D.
• Jason T Dewilde, CRNA
• Dez Moinez Care LLC
• Diamond Heart Therapy and Counseling LLC
• Diamond Home Health Care Services
• Diane Palmer,MSW,LLC

• Child & Adolescent Psychiatry Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Child & Adolescent Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.