OrganizationActive
Healthy Aging and Memory Clinic
NPI 1417044645 · Geriatric Medicine (Family Medicine) Physician · West Des Moines, IA
Provider details
- NPI number
- 1417044645
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Bender, Medical Director(515) 224-4100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 50th Street
Suite 104
West Des Moines, IA 50266
Phone: (515) 224-4100
Fax: (515) 224-4926
Street-level locationGet directions
Mailing address
2555 106th Street
Urbandale, IA 50322-3766
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2011-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.