Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
17 11 JE 2060
Active Organization17 11 JE 2060 is a 1744R1102X organization located in DES MOINES, Iowa. NPI 1457217390 is currently active in the NPPES registry. Verify at CMS.
1744R1102X · DES MOINES, IA
Registration Details
- NPI Number
- 1457217390
- Provider Type
- Organization
- NPI Issued
- Jan 3, 2026 (0.57943616666736 yrs)
- Last Updated
- Jan 3, 2026
Practice Information
- Address
-
1444 E WALNUT ST APT 18DES MOINES, IA, 503163828Browse IA providers · Browse ZIP 50316
- Phone
- 5158027198
- Primary Specialty
-
1744R1102X
1744R1102X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.