Organization Active NPI

Collin E. Pehde DPM, PLLC

Doing business as East Village Foot & Ankle Surgeons

  • Foot & Ankle Surgery Podiatrist
  • Des Moines, IA
National Provider Identifier
1912278490
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00782 Issued in IA
Legal business name
COLLIN E. PEHDE DPM, PLLC
Doing business as
East Village Foot & Ankle Surgeons
Practice address
500 E Court Ave
Suite 314
Des Moines, IA 50309-2057
Phone
(515) 282-6067
Fax
(515) 244-1722
NPI assigned
Jan 16, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Collin Eugene Pehde, DPM
Title
Sole Member/Owner
Phone
(515) 282-6067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00782 IA Primary

Addresses

Primary practice location

500 E Court Ave
Suite 314
Des Moines, IA 50309-2057

Mailing address

2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974

Other names 1

  • East Village Foot & Ankle Surgeons Doing business as

National Provider Directory

National Provider Directory

Locations

411 Laurel St
Ste 1100
Des Moines, IA 50314
Phone (515) 247-3121

701 Riverview St
Des Moines, IA 50316
Phone (515) 226-1106

1002 W Washington Ave
Polk City, IA 50226
Phone (515) 984-6411

4614 84th St
Urbandale, IA 50322
Phone (515) 270-6838

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1912278490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E COURT AVE",
            "address_2": "SUITE 314",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092057",
            "telephone_number": "515-282-6067",
            "fax_number": "515-244-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN E. PEHDE DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "PEHDE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "515-282-6067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Village Foot & Ankle Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 20, 2012; 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.