Pet Co., LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PET CO., LLC

Practice address

1221 Pleasant St
Ste 150a
Des Moines, IA 50309

Phone

(515) 244-5109

Fax

(515) 241-3505

NPI assigned

Oct 26, 2005

Organization subpart

Yes

Parent organization

THE IOWA CLINIC HOLDING COMPANY LLCAs reported in NPPES

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

Authorized official

Name

Mr. Charles Edward Brown, CEO

Title

Chief Executive Officer

Phone

(515) 875-9101

Specialties & licenses 1

Addresses

Tax ID family

Pet Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pet Co LLC

  • Body Imaging Physician
  • Des Moines, IA
  • NPI 1285627943
  NPD tax ID

Locations

Practitioners 1

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

• John D Berger, M.D.

  • Nuclear Medicine Physician
  • Des Moines, IA
  • NPI 1619960259
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1790775138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 VISTA DR STE 160",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502669313",
            "telephone_number": "515-875-9924",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST",
            "address_2": "STE 150A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50309",
            "telephone_number": "515-244-5109",
            "fax_number": "515-241-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET CO., LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE IOWA CLINIC HOLDING COMPANY LLC",
        "enumeration_date": "2005-10-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "515-875-9101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolena Michelle Perri
• Grant Perry
• Kindra Lee Perry, PSYD, LP
• Casey Pestka, MFT-TL
• Pet Co LLC
• Jennifer Lyn Peter, RD, LD
• Ashlee Brooke Peters, RN, MSN
• Austin Peters
• Kelsey M Peters, ARNP
• Lola Peters

• Durable Medical Equipment & Medical Supplies in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.