Organization Active NPI

Douglas a Layton DO

  • Family Medicine Physician
  • Polk City, IA
National Provider Identifier
1336781855
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOUGLAS A LAYTON DO
Practice address
1010 S 3Rd St
Polk City, IA 50226-1130
Phone
(515) 237-3974
Fax
(515) 237-3979
NPI assigned
Oct 16, 2019
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Douglas LaytonNPI 1831159193
Title
Owner
Phone
(515) 237-3974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1010 S 3Rd St
Polk City, IA 50226-1130

Mailing address

500 E Court Ave Ste 305
Des Moines, IA 50309-2057
Phone (515) 237-3974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231114003673 IA Part B Supplier - Clinic/Group Practice 8325495294 Receives reassigned benefits from 2 practitioners
Practice locations: Polk City, IA

National Provider Directory

National Provider Directory
Tax ID family
Douglas a Layton DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 S 3rd St
Polk City, IA 50226
Phone (515) 984-6426

1010 S 3rd St
Ste 1A
Polk City, IA 50226
Phone (515) 984-6426

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1336781855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E COURT AVE STE 305",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092057",
            "telephone_number": "515-237-3974",
            "fax_number": "515-237-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 3RD ST",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261130",
            "telephone_number": "515-237-3974",
            "fax_number": "515-237-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A LAYTON DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-237-3974"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polk City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.

Verify at the official NPI Registry.