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

Grand View University

Organization Pediatric Adolescent Medicine Physician · NPI 1861908089

Grand View University is a Pediatric Adolescent Medicine Physician in Des Moine, Iowa. Licensed in Iowa. Registered with an NPI since 2017.

Licensed in
IA
In the registry since
2017

Practice location Address checks out

1200 Grandview Ave Johnson Wellness Ctr
Des Moine, IA 50316-1529
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 23873 (IA)

Record details

NPI number1861908089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Grand View Health Services
NPI enumeratedDecember 26, 2017
Last updated in NPPESDecember 26, 2017
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995