Organization Active NPI

Chpcommunity

  • Public Health & General Preventive Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1912642885
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
CHPCOMMUNITY
Practice address
939 Office Park Rd Ste 333
West Des Moines, IA 50265-2566
Phone
(515) 635-1285
Fax
(515) 635-1286
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Renee T Allard
Title
Hub Administrator
Phone
(515) 635-1285

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

939 Office Park Rd Ste 333
West Des Moines, IA 50265-2566

Mailing address

939 Office Park Rd Ste 333
West Des Moines, IA 50265-2566
Phone (515) 635-1285

Other names 1

  • Iowa Community HUB Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250527001063 IA MDPP Supplier - in-Person MDPP Supplier 7113446881 Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

939 Office Park Rd
Ste 333
West Des Moines, IA 50265
Phone (515) 635-1285

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1912642885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD STE 333",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652566",
            "telephone_number": "515-635-1285",
            "fax_number": "515-635-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 OFFICE PARK RD STE 333",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652566",
            "telephone_number": "515-635-1285",
            "fax_number": "515-635-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHPCOMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2025-02-10",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "ALLARD",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "HUB ADMINISTRATOR",
        "authorized_official_telephone_number": "515-635-1285"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Community HUB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iowa Community HUB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.