Active NPI
Daniel Dimeo, MD
- Pediatric Gastroenterology Physician
- Des Moines, IA
National Provider Identifier
1699887133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 35841
- Practice address
- 330 Laurel St
Suite 1200
Des Moines, IA 50314-3034 - Phone
- (515) 643-5454
- Fax
- (515) 643-5460
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 35841 | IA | Primary |
Addresses
Primary practice location
330 Laurel St
Suite 1200
Des Moines, IA 50314-3034
Mailing address
PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 643-5454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0462416 | Medicaid | IA | |
| 39340 | Other | IA | WELLMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35841 | IA | MD | Pediatric Gastroenterology Physician |
Interoperability endpoints
- ddimeo3943088@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1699887133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4925",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503054925",
"telephone_number": "515-643-5454",
"fax_number": "515-643-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 LAUREL ST",
"address_2": "SUITE 1200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143034",
"telephone_number": "515-643-5454",
"fax_number": "515-643-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMEO",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "IA",
"license": "35841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0462416",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "39340",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.