Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Des Moines Pediatric & Adolescent Clinic

Organization Pediatrics Physician · NPI 1194991109

Des Moines Pediatric & Adolescent Clinic is a Pediatrics Physician in Des Moines, Iowa. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

2301 Beaver Ave
Des Moines, IA 50310-3903
Phone: (515) 255-3181
Fax: (515) 255-9392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1194991109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rob Fornoff — Owner · (515) 255-3181
NPI enumeratedApril 30, 2008
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address2301 Beaver Ave, Des Moines, IA 50310-3903

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