The Center for Medical Nutrition & Exercise Science

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

00948 Issued in IA

Legal business name

THE CENTER FOR MEDICAL NUTRITION & EXERCISE SCIENCE

Practice address

230 S 68TH St
Suite 1102
West Des Moines, IA 50266-8176

Phone

(515) 471-1832

Fax

(515) 267-1379

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Basil Hassan, M.D.

Title

Medical Director

Phone

(515) 471-1800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952449860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST",
            "address_2": "SUITE 1102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-471-1832",
            "fax_number": "515-267-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST",
            "address_2": "SUITE 1102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-471-1832",
            "fax_number": "515-267-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR MEDICAL NUTRITION & EXERCISE SCIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "515-471-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "00948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.