CENTRAL STATES PAIN CLINIC – NPI #1144646787
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CENTRAL STATES PAIN CLINIC is a provider located in WEST DES MOINES, IA. NPPES has assigned the NPI number 1144646787 to CENTRAL STATES PAIN CLINIC on March 06, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL STATES PAIN CLINIC” is a dba name, the actual legal business name for this organization is CENTRAL STATES MEDICINE, PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 3 years ago on Jul 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL STATES PAIN CLINIC below.

NPI Profile for
CENTRAL STATES MEDICINE, PLLC

NPI Number
1144646787
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL STATES MEDICINE, PLLC
Doing Business As (dba): CENTRAL STATES PAIN CLINIC
Primary location
2425 WESTOWN PKWY STE 100
WEST DES MOINES, IA 50266-1425
Phone: (515) 267-1819 Fax: (515) 457-9180
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTIAN LEDET
OWNER
Phone: (515) 991-6790
Updated
Certification Date
Jul 19, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.