Organization Active NPI

Perinatal Center of Iowa LLC

  • Obstetrics & Gynecology Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1720364276
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
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

Updated by the provider on Dec 8, 2011

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)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1720364276MedicaidIA

Other names 1

  • Perinatal Nurse Practitioners Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.