Active NPI
Perinatal Center of Iowa LLC
- Obstetrics & Gynecology Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1720364276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Legal business name
- PERINATAL CENTER OF IOWA LLC
- Practice address
- 330 Laurel St
Suite 2300
Des Moines, IA 50314-3068 - Phone
- (515) 643-6888
- Fax
- (515) 643-6899
- NPI assigned
- Oct 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David H Vellinga
- Title
- Pres/Ceo
- Phone
- (515) 247-4278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | Primary |
Addresses
Primary practice location
330 Laurel St
Suite 2300
Des Moines, IA 50314-3068
Mailing address
PO Box 8204
Des Moines, IA 50301-8204
Phone (515) 643-6888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720364276 | Medicaid | IA |
Other names 1
- Perinatal Nurse Practitioners
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- West Des Moines, IA
- NPI 1437258092
-
- Maternal & Fetal Medicine Physician
- West Des Moines, IA
- NPI 1164513560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323302400000",
"number": "1720364276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8204",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503018204",
"telephone_number": "515-643-6888",
"fax_number": "515-643-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 LAUREL ST",
"address_2": "SUITE 2300",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143068",
"telephone_number": "515-643-6888",
"fax_number": "515-643-6899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERINATAL CENTER OF IOWA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-28",
"last_updated": "2011-12-08",
"status": "A",
"authorized_official_last_name": "VELLINGA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRES/CEO",
"authorized_official_telephone_number": "515-247-4278"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720364276",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Perinatal Nurse Practitioners",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.