Dpmmodlinpria LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

073866 Issued in IA

Legal business name

DPMMODLINPRIA LLC

Practice address

1111 E Army Post Rd
Suite 470
Des Moines, IA 50315-5970

Phone

(515) 244-0633

Fax

(515) 244-2412

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Joshua Ray Modlin, DPM

Title

Owner

Phone

(515) 244-0633

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Eells, DPM

  • Podiatrist
  • Des Moines, IA
  • NPI 1790781342
  NPD (past)
• Robert Joseph Swarts, DPM

  • Podiatrist
  • Des Moines, IA
  • NPI 1427381839
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1942614367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E ARMY POST RD",
            "address_2": "SUITE 470",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155970",
            "telephone_number": "515-244-0633",
            "fax_number": "515-244-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E ARMY POST RD",
            "address_2": "SUITE 470",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155970",
            "telephone_number": "515-244-0633",
            "fax_number": "515-244-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMMODLINPRIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "MODLIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-244-0633",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "073866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Downing, ARNP
• H Michael Downs
• Matthew Charles Downs
• Downtown Smiles
• Kerry Jane Doyle, LMSW
• Dr Jen Sand, LLC
• Dr Robert Eells PC
• Dr. Jeffrey L. Koenen, PC
• Dr. Rico Bertagnolli Family Dentistry,P.C.
• Drake University College of Pharmacy

• Foot & Ankle Surgery Podiatrist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Foot & Ankle Surgery Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.