Organization Active NPI

Pella CSD

  • Local Education Agency (LEA)
  • Pella, IA
National Provider Identifier
1386795623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PELLA CSD
Practice address
210 E University St
Pella, IA 50219-1970
Phone
(641) 628-1111
Fax
(641) 628-1116
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark J Wittmer
Title
Superintendent
Phone
(641) 628-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X IA Primary

Addresses

Primary practice location

210 E University St
Pella, IA 50219-1970

Mailing address

210 E University St
Pella, IA 50219-1970
Phone (641) 628-1111

Other identifiers 1

IdentifierTypeStateIssuer
0264994MedicaidIA

National Provider Directory

National Provider Directory

Locations

210 E University St
Pella, IA 50219
Phone (641) 628-1111

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386795623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E UNIVERSITY ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191970",
            "telephone_number": "641-628-1111",
            "fax_number": "641-628-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E UNIVERSITY ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191970",
            "telephone_number": "641-628-1111",
            "fax_number": "641-628-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLA CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITTMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "641-628-1111"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264994",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.