HEALTHY AGING AND MEMORY CLINIC
HEALTHY AGING AND MEMORY CLINIC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417044645, based in West Des Moines, IA. It is classified under Geriatric Medicine (Family Medicine) Physician.
Getting there
The practice address on file is 1300 50TH STREET SUITE 104, West Des Moines, IA 50266. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 22610 | IA | Geriatric Medicine (Family Medicine)… primary |
This provider holds licence 22610 issued in IA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Geriatric Medicine covers
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. NUCC Health Care Provider Taxonomy, code 207QG0300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | 22610 | IA | primary |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1417044645 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 9, 2006 |
| Last updated | Oct 4, 2011 |
| Status | Active |
| Practice address |
1300 50TH STREET SUITE 104 West Des Moines, IA 50266 (515) 224-4100 Fax (515) 224-4926 |
| Mailing address |
2555 106TH STREET Urbandale, IA 50322 |
| Other identifiers |
2184259
(IA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 0 | 4 | 4 | 6 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 0 | 4 | 8 | 6 | 8 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.