Organization Active NPI

Ascent Integrated Specialists, PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Waterloo, IA
National Provider Identifier
1689594111
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
ASCENT INTEGRATED SPECIALISTS, PLLC
Practice address
2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715
Phone
(319) 888-8044
NPI assigned
Jul 16, 2026
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Kenny David RodriguezNPI 1447783139
Title
Medical Director
Phone
(319) 888-8044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU
Otolaryngic Allergy Physician 207YX0602X NU
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X NU Primary

Addresses

Primary practice location

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715

Mailing address

2515 Cyclone Dr Ste B
Waterloo, IA 50701-9715
Phone (319) 888-8044

Other practice location 1

201 8th Ave SE
Oelwein, IA 50662-2447
Phone (319) 888-8044

Other practice location 2

1560 Boyson Rd Ste D
Hiawatha, IA 52233-2385
Phone (319) 888-8044

Other practice location 3

1253 4th St SW
Waverly, IA 50677-4322
Phone (319) 888-8044

Other practice location 4

4006 Johnathan St
Waterloo, IA 50701-9387
Phone (319) 888-8044

Other practice location 5

201 E J Ave
Grundy Center, IA 50638-2028
Phone (319) 888-8044

Other practice location 6

1600 1st St E
Independence, IA 50644-3155
Phone (319) 888-8044

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1689594111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 CYCLONE DR STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019715",
            "telephone_number": "319-888-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 CYCLONE DR STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019715",
            "telephone_number": "319-888-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 8th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Oelwein",
            "state": "IA",
            "postal_code": "506622447",
            "country_code": "US",
            "telephone_number": "319-888-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 Boyson Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "IA",
            "postal_code": "522332385",
            "country_code": "US",
            "telephone_number": "319-888-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1253 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "IA",
            "postal_code": "506774322",
            "country_code": "US",
            "telephone_number": "319-888-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4006 Johnathan St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507019387",
            "country_code": "US",
            "telephone_number": "319-888-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E J Ave",
            "address_purpose": "LOCATION",
            "city": "Grundy Center",
            "state": "IA",
            "postal_code": "506382028",
            "country_code": "US",
            "telephone_number": "319-888-8044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 1st St E",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "IA",
            "postal_code": "506443155",
            "country_code": "US",
            "telephone_number": "319-888-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASCENT INTEGRATED SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "319-888-8044"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.