Healthcare Provider Details

I. General information

NPI: 1669855334
Provider Name (Legal Business Name): ANP FOOT AND ANKLE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 S 68TH ST STE 1208
WEST DES MOINES IA
50266-8176
US

IV. Provider business mailing address

230 S 68TH ST STE 1208
WEST DES MOINES IA
50266-8176
US

V. Phone/Fax

Practice location:
  • Phone: 515-226-2189
  • Fax: 515-226-2199
Mailing address:
  • Phone: 515-226-2189
  • Fax: 515-226-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number00508
License Number StateIA

VIII. Authorized Official

Name: NAVIN KUMAR GUPTA
Title or Position: OWNER
Credential:
Phone: 515-226-2189