Active NPI
Chpcommunity
- Public Health & General Preventive Medicine Physician
- West Des Moines, IA
National Provider Identifier
1912642885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Public Health & General Preventive Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250527001063 | IA | MDPP Supplier - in-Person MDPP Supplier | 7113446881 | Practice locations: West Des Moines, IA |
National Provider Directory
National Provider DirectoryLocations
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.