Kirk W Neustrom, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

446 Issued in IA

Practice address

1228 8TH St Ste 105
West Des Moines, IA 50265-2624

Phone

(515) 221-9330

NPI assigned

Jan 2, 2007

Last updated

Dec 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1821155714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 BROOKVIEW DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652734",
            "telephone_number": "515-221-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 8TH ST STE 105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652624",
            "telephone_number": "515-221-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSTROM",
        "first_name": "KIRK",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IA",
            "license": "446",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "IA",
            "license": "446",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083139",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Whitney Nestman, S.T.
• Susan Netsch
• John Netten, DO
• Heidi A Nettrour, LMSW
• Neuro Solutions Partners Iowa LLC
• Keifer Paul Nevius, LMHC
• New Dawn Therapy, PLLC
• New Leaf Specialty Pharmacy
• Debra Newman, LMFT
• Joseph T Newman, D.P.M.

• Primary Podiatric Medicine Podiatrist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Primary Podiatric Medicine Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.