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Export Provider Record NPI 1124281902
Nicholas SouthardD.O.
Active
NPI Number1124281902
NPI TypeNPI-1 Individual
Provider Details
NPI1124281902
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-07-02
Last Updated2024-01-11
Mailing AddressPo Box 424
Des Moines, IA 50302-0424
United States
Phone: (515) 875-9255 | Fax: (515) 875-9223
📍 View Map
Primary Practice Address5950 University Ave, Ste 231
West Des Moines, IA 50266
United States
Phone: (515) 875-9090 | Fax: (515) 875-9312
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2086S0129XIADO-04402
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About NPI 1124281902

Nicholas Southard D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124281902. The provider is located in West Des Moines, IA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-07-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124281902?

NPI 1124281902 belongs to Nicholas Southard D.O. in West Des Moines, IA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124281902 active?

The current status of NPI 1124281902 in the NPPES registry is Active. The record was last updated on 2024-01-11.

What specialty is NPI 1124281902?

The taxonomy for NPI 1124281902 can be viewed in the Taxonomy section above. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124281902?

You can verify NPI 1124281902 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124281902?

The primary practice address on file for NPI 1124281902 is 5950 University Ave, West Des Moines, IA 50266. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124281902 issued?

NPI 1124281902 was first issued (enumerated) on 2008-07-02. The NPPES record was last updated on 2024-01-11.

Practice Location Map

Nicholas Southard is located at 5950 University Ave, West Des Moines, IA. Use the map below to find directions or verify the practice location.

📍 5950 University Ave, West Des Moines, IA 50266  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nicholas Southard. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124281902. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
2086S0129XDO-04402IA
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162