Organization Active NPI

Progenity Whole Health Inc.

  • Internal Medicine Physician
  • Des Moines, IA
National Provider Identifier
1245632298
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1984 Issued in IA
Legal business name
PROGENITY WHOLE HEALTH INC.
Practice address
1510 Pleasant View Dr
Des Moines, IA 50315-2126
Phone
(515) 771-2527
Fax
(855) 642-1942
NPI assigned
Sep 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Mitch Harris
Title
Administrator
Phone
(515) 865-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1984 IA Primary

Addresses

Primary practice location

1510 Pleasant View Dr
Des Moines, IA 50315-2126

Mailing address

1510 Pleasant View Dr
Des Moines, IA 50315-2126
Phone (515) 771-2527

Other names 1

  • Progenity Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

95 University Ave
Ste 1
Des Moines, IA 50314
Phone (515) 288-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1245632298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 PLEASANT VIEW DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152126",
            "telephone_number": "515-771-2527",
            "fax_number": "855-642-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 PLEASANT VIEW DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152126",
            "telephone_number": "515-771-2527",
            "fax_number": "855-642-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGENITY WHOLE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-865-4567"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progenity Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progenity Health Care",
            "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 Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.