NPIMap

Individual provider Active NPI

Dale Miller Grunewald, D.O.

  • Family Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1871595207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01543 Issued in IA
Practice address
230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176
Phone
(515) 471-1800
Fax
(515) 471-1801
NPI assigned
Aug 15, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01543 IA Primary

Addresses

Primary practice location

230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176

Mailing address

230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176
Phone (515) 471-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000886 IA Practitioner - Family Practice 6901845346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidd-Krafft Occupational and Physical Therapy PAGroup PAC ID 1254689169, shared by 3 NPIs, 32 clinicians

Practice addresses (Care Compare)

1275 SW State St
Ankeny, IA 50023-2545
Phone (515) 895-4560

230 S 68TH St
Suite 1203
West Des Moines, IA 50266-8176
Phone (515) 471-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dale M. Grunewald DO PC Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Dawn Marie Schissel PC Family Medicine Current Accepting new patients
Jordan Creek Family Medical Clinic PC Family Medicine Current Accepting new patients

Locations

230 S 68th St
Ste 1203
West Des Moines, IA 50266
Phone (515) 471-1800

Interoperability endpoints

  • Direct secure messaging: dale@jcfmc.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72558

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regency Care CenterNorwalk, IA, CCN 165399 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 3, 2025
Nov 3, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871595207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST",
            "address_2": "SUITE 1203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-471-1800",
            "fax_number": "515-471-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST",
            "address_2": "SUITE 1203",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-471-1800",
            "fax_number": "515-471-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNEWALD",
        "first_name": "DALE",
        "middle_name": "MILLER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "01543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.