NPIMap

Organization Active NPI

Des Moines Orthopaedic Surgeons PC MRI Imaging Center

  • Clinic/Center
  • West Des Moines, IA
National Provider Identifier
1679657753
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ACR0340900992 Issued in IA
Legal business name
DES MOINES ORTHOPAEDIC SURGEONS PC MRI IMAGING CENTER
Practice address
6001 Westown Parkway
West Des Moines, IA 50266-7702
Phone
(515) 224-5111
Fax
(515) 224-5140
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Michael L Tebo
Title
Corporate Administrator
Phone
(515) 224-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ACR0340900992 IA Primary

Addresses

Primary practice location

6001 Westown Parkway
West Des Moines, IA 50266-7702

Mailing address

6001 Westown Parkway
West Des Moines, IA 50266-7702
Phone (515) 224-5111

National Provider Directory

National Provider Directory
Tax ID family
Johnston Richard6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679657753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PARKWAY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667702",
            "telephone_number": "515-224-5111",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WESTOWN PARKWAY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667702",
            "telephone_number": "515-224-5111",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES ORTHOPAEDIC SURGEONS PC MRI IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEBO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CORPORATE ADMINISTRATOR",
        "authorized_official_telephone_number": "515-224-5131"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "ACR0340900992",
            "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 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.