NPI 1124010889 · live from the CMS NPI Registry
John David Bennett, D.P.M.
Podiatrist in Des Moines, IA. National Provider Identifier 1124010889, active.
NPI record
| NPI | 1124010889 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 3200 Grand Ave, Des Moines, IA 50312 |
| Practice phone | 515-271-1731 |
| Enumerated | August 18, 2005 |
| Last updated | February 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 00653 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.