JOHN DAVID BENNETT (NPI# 1124010889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124010889 |
| Entity Type | Individual |
| Full Name | JOHN DAVID BENNETT |
| Credential | D.P.M. |
| Practice Address |
3200 Grand Ave Des Moines IA 50312-4104 |
| Practice Telephone | 5152711731 |
| Practice Fax Number | 5152711692 |
| Mailing Telephone | 5152711731 |
| Mailing Fax Number | 5152711692 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00653 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0172239 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386910495 | John Lawrence Bennett | Emergency Medicine | 459 Clarence St, Johnstown, PA 15905-1812 | 2012-03-23 |
| 1548598410 | John Gordon Bennett | Community Health Worker | 1200 West Ave, Suite 825, Miami Beach, FL 33139-4377 | 2009-12-03 |
| 1194052035 | John Arthur Bennett | Internal Medicine | 1835 County Line Rd, Villanova, PA 19085-1729 | 2009-11-13 |
| 1710137583 | John Kelly Bennett | Radiologic Technologist | 1661 Kinsmere Dr, Trinity, FL 34655-4528 | 2008-09-29 |
| 1225292808 | John Keith Bennett | Physical Therapist | 7826 Stonewall Ct, Lincoln, NE 68506-4171 | 2008-07-14 |
| 1407033723 | John O. Bennett | Nurse Anesthetist, Certified Registered | 4104 Water Oak Pl, Virginia Beach, VA 23452-2124 | 2008-01-29 |
| 1639230642 | John Brian Bennett | Obstetrics & Gynecology | St Anthonys Medical Center, St Louis, MO 63128-2106 | 2006-12-13 |
| 1649353103 | John Calvin Bennett Sr. | Dentist | 100 Rice Mine Rd N Ste D, Tuscaloosa, AL 35406-2375 | 2006-10-20 |
| 1306857446 | John Dieter Bennett | Psychiatry & Neurology | 2600 N Stemmons Fwy, Suite 151, Dallas, TX 75207-2113 | 2006-08-11 |
| 1154341733 | John Allyn Bennett | Dentist | 1369 G St, Arcata, CA 95521-5820 | 2006-07-19 |
| Street Address |
3200 GRAND AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838297 | Traci Ann Bush | Physical Therapist | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2005-08-17 |
| 1649889155 | Margaret Grace Meyer | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-07-30 |
| 1811514128 | Alexis Hanson | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-07-02 |
| 1154945038 | Benjamin Bogert | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-06-05 |
| 1568086205 | Bergen Schattschneider | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-05-28 |
| 1295354991 | Haley Hicks | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-04-13 |
| 1306465547 | Nelson Sham | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-04-08 |
| 1982232310 | Lauren Rank | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-31 |
| 1831727486 | Autumn Luger | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-30 |
| 1073141875 | Allysa Moran | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578946018 | Donald Godfree Jr. | Podiatrist | 3600 30th St Dept Of, Des Moines, IA 50310-5753 | 2015-07-01 |
| 1831275767 | Lynda L. Haver | Podiatrist | 6216 Welker Ave, Des Moines, IA 50312-1570 | 2006-10-31 |
| 1730299785 | Midwest Podiatry Associates, P.C. | Podiatrist | 3001 E 43rd St, Des Moines, IA 50317-4076 | 2006-08-30 |
| 1235197542 | Rudolph Lafontant | Podiatrist | 2629 Beaver Ave, Suite 15, Des Moines, IA 50310-3991 | 2006-05-03 |
| 1659351658 | Michael Glenn Miller | Podiatrist | 515 28th St, #101, Des Moines, IA 50312-5259 | 2006-01-18 |
| 1194704684 | Gary D. Nutt | Podiatrist | 2802 E Euclid Ave, Des Moines, IA 50317-4246 | 2006-01-12 |
| 1790781342 | Robert Eells | Podiatrist | 1111 E Army Post Rd, Suite 470, Des Moines, IA 50315-5970 | 2005-06-28 |
| 1982229845 | Zachary John Bliek | Podiatrist | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2020-06-16 |
| 1902464027 | Ryan Daniel Prusa | Podiatrist | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2019-06-04 |
| 1063906394 | Nephi Jones | Podiatrist | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-06-20 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on JOHN DAVID BENNETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.