NPIMap

Organization Active NPI

Jana Poock DPM PC

  • Podiatric Clinic/Center
  • Waukee, IA
National Provider Identifier
1831491182
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
00765 Issued in IA
Legal business name
JANA POOCK DPM PC
Practice address
1340 E Hickman Rd
Waukee, IA 50263-8137
Phone
(515) 987-8833
Fax
(515) 987-3718
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Dr. Jana Poock, DPMNPI 1962484287
Title
Director
Phone
(515) 953-9816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 00765 IA Primary

Addresses

Primary practice location

1340 E Hickman Rd
Waukee, IA 50263-8137

Mailing address

1340 E Hickman Rd
Waukee, IA 50263-8137
Phone (515) 987-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101216001031 IA Part B Supplier - Clinic/Group Practice 0749478733 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA; Waukee, IA; Urbandale, IA; Johnston, IA; Grimes, IA; Des Moines, IA; Clive, IA
O20110315000679 IA DME Supplier - Physician - Podiatry 0749478733 Practice locations: Waukee, IA

National Provider Directory

National Provider Directory

Locations

2555 Berkshire Pkwy
Ste D
Clive, IA 50325
Phone (515) 978-8833

1340 E Hickman Rd
Waukee, IA 50263
Phone (515) 978-2980

Practitioners & affiliated clinicians

Practitioners 11

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": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1831491182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638137",
            "telephone_number": "515-987-8833",
            "fax_number": "515-987-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638137",
            "telephone_number": "515-987-8833",
            "fax_number": "515-987-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA POOCK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "POOCK",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "515-953-9816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IA",
            "license": "00765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.