NPIMap

Organization Active NPI

Iowa ENT Center PLLC

  • Otolaryngology Physician
  • West Des Moines, IA
National Provider Identifier
1528314960
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
IOWA ENT CENTER PLLC
Practice address
105 Valley West Dr
Suite 100
West Des Moines, IA 50265-3902
Phone
(515) 223-4368
Fax
(515) 453-2368
NPI assigned
Aug 2, 2012
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Timothy C Simplot, MDNPI 1275591273
Title
Physician
Phone
(515) 223-4368

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
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

105 Valley West Dr
Suite 100
West Des Moines, IA 50265-3902

Mailing address

105 Valley West Dr
Suite 100
West Des Moines, IA 50265-3902
Phone (515) 223-4368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121116000354 IA Part B Supplier - Clinic/Group Practice 6406007608 Practice locations: Pella, IA; West Des Moines, IA; Corydon, IA; Chariton, IA; Ankeny, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2125001Iowa ENT Center105 Valley West Drive, West Des Moines, IA 50265Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

1510 SW Oralabor Rd
Ste E
Ankeny, IA 50023
Phone (515) 223-4368

319 N Ankeny Blvd
Ankeny, IA 50023
Phone (515) 223-4368

105 Valley West Dr
Ste 100
West Des Moines, IA 50265
Phone (515) 223-4368

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1528314960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VALLEY WEST DR",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653902",
            "telephone_number": "515-223-4368",
            "fax_number": "515-453-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VALLEY WEST DR",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653902",
            "telephone_number": "515-223-4368",
            "fax_number": "515-453-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA ENT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "SIMPLOT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "515-223-4368",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.

Verify at the official NPI Registry.