Active NPI
Alex Jacob Dahms
- Student in an Organized Health Care Education/Training Program
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 147613
- Practice address
- 901 S National Ave
Springfield, MO 65897-0027 - Phone
- (417) 836-4105
- NPI assigned
- Jul 15, 2024
- Last updated
- Jul 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 147613 | IA | Primary |
Addresses
Primary practice location
901 S National Ave
Springfield, MO 65897-0027
Mailing address
591 Adkins St
Prairie City, IA 50228-7504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000
407 S White St
Henry County Health Center
Mount Pleasant, IA 52641-2263
Phone (319) 385-3141
5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 372-6530
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147613 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aj Dahms Anesthesia Services, PLLC | Current | Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| Green Anesthesia Iowa PLLC | Current | Accepting new patients | |
| Henry County Health Center, Inc. | Current | Accepting new patients | |
| Henry County Health Center Inc | Current | Accepting new patients |
Locations
5445 Avenue O
Fort Madison, IA 52627
Phone (319) 372-6530
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Fort Madison, IA
- NPI 1649143157
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
-
- Certified Registered Nurse Anesthetist
- West Burlington, IA
- NPI 1134063142
-
- General Practice Physician
- Mt Pleasant, IA
- NPI 1871177477
-
- Critical Access Hospital
- Mt Pleasant, IA
- NPI 1811571417
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mt Pleasant, IA
- NPI 1811571417
-
dba Southeast Iowa Regional Medical Center
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1396582599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 ADKINS ST",
"city": "PRAIRIE CITY",
"state": "IA",
"postal_code": "502287504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658970027",
"telephone_number": "417-836-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHMS",
"first_name": "ALEX",
"middle_name": "JACOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "147613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.