Organization Active NPI

Midwest Podiatry Associates, P.C.

  • Podiatrist
  • Des Moines, IA
National Provider Identifier
1730299785
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00619 Issued in IA
Legal business name
MIDWEST PODIATRY ASSOCIATES, P.C.
Practice address
3001 E 43Rd St
Des Moines, IA 50317-4076
Phone
(515) 270-2363
Fax
(515) 331-1080
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Charles H Allison, D.P.M.
Title
Owner
Phone
(515) 270-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00619 IA Primary

Addresses

Primary practice location

3001 E 43Rd St
Des Moines, IA 50317-4076

Mailing address

3001 E 43Rd St
Des Moines, IA 50317-4076
Phone (515) 270-2363

Other identifiers 1

IdentifierTypeStateIssuer
7135319MedicaidIA

National Provider Directory

National Provider Directory

Locations

8545 Hickman Rd
Urbandale, IA 50322
Phone (515) 270-4970

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730299785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E 43RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503174076",
            "telephone_number": "515-270-2363",
            "fax_number": "515-331-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E 43RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503174076",
            "telephone_number": "515-270-2363",
            "fax_number": "515-331-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PODIATRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-270-2363",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7135319",
            "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 Jul 21, 2022; 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.