NPIMap

Organization Active NPI

Dr Robert Eells PC

  • Podiatric Clinic/Center
  • Des Moines, IA
National Provider Identifier
1790868057
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
00571 Issued in IA
Legal business name
DR ROBERT EELLS PC
Practice address
1111 E Army Post Rd
Suite 470
Des Moines, IA 50315-5970
Phone
(515) 244-0633
Fax
(515) 244-2412
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Dr. Robert Eells, DPMNPI 1790781342
Title
Owner
Phone
(515) 244-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 00571 IA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 00571 IA
Customized Equipment (DME) 332BC3200X 00571 IA

Addresses

Primary practice location

1111 E Army Post Rd
Suite 470
Des Moines, IA 50315-5970

Mailing address

1111 E Army Post Rd
Suite 470
Des Moines, IA 50315-5970
Phone (515) 244-0633

Other identifiers 1

IdentifierTypeStateIssuer
0176941MedicaidIA

National Provider Directory

National Provider Directory

Locations

1111 E Army Post Rd
Ste 470
Des Moines, IA 50315
Phone (515) 244-0633

319 7th St
Ste 315
Des Moines, IA 50309
Phone (515) 244-0633

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1790868057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E ARMY POST RD",
            "address_2": "SUITE 470",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155970",
            "telephone_number": "515-244-0633",
            "fax_number": "515-244-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E ARMY POST RD",
            "address_2": "SUITE 470",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155970",
            "telephone_number": "515-244-0633",
            "fax_number": "515-244-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT EELLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "EELLS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-244-0633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IA",
            "license": "00571",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "00571",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IA",
            "license": "00571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176941",
            "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 Dec 16, 2013; 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.