Active NPI
Mark Eikenberry
- Social Worker
- Des Moines, IA
National Provider Identifier
1871910679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 01111
- Practice address
- 700 E University Ave
Des Moines, IA 50316-2302 - Phone
- (515) 241-2300
- Fax
- (515) 241-2305
- NPI assigned
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 01111 | IA | Primary |
Addresses
Primary practice location
700 E University Ave
Des Moines, IA 50316-2302
Mailing address
700 E University Ave
Des Moines, IA 50316-2302
Phone (515) 241-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1871910679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E UNIVERSITY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162302",
"telephone_number": "515-241-2300",
"fax_number": "515-241-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E UNIVERSITY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162302",
"telephone_number": "515-241-2300",
"fax_number": "515-241-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIKENBERRY",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "01111",
"primary": true
}
],
"identifiers": [],
"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 Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.