Active NPI
Iowa Head & Neck PC
- Otolaryngology Physician
- Des Moines, IA
National Provider Identifier
1760655138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- IOWA HEAD & NECK PC
- Practice address
- 3901 Ingersoll Ave
Des Moines, IA 50312-3505 - Phone
- (515) 274-9136
- Fax
- (515) 274-3107
- NPI assigned
- Apr 8, 2008
- 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
- Robert Terrance Brown, MD
- Title
- Owner
- Phone
- (515) 274-9136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | IA | Primary |
Addresses
Primary practice location
3901 Ingersoll Ave
Des Moines, IA 50312-3505
Mailing address
3901 Ingersoll Ave
Des Moines, IA 50312-3505
Phone (515) 274-9136
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1760655138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 INGERSOLL AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123505",
"telephone_number": "515-274-9136",
"fax_number": "515-274-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 INGERSOLL AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503123505",
"telephone_number": "515-274-9136",
"fax_number": "515-274-3107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOWA HEAD & NECK PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "TERRANCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-274-9136",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"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.