Ikc, LLC
NPI 1659904803 · Clinic/Center · West Des Moines, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ikc, LLC is a Clinic/Center organization in West Des Moines, IA (NPI 1659904803).
Provider details
- NPI number
- 1659904803
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Otten, Revenue Cycle Director(515) 710-8720
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Iowa Ketamine Clinic
- Doing business as
- Iowa Ketamine Clinic
Additional practice locations (1)
- 1960 Sw Magazine RdAnkeny, IA 50023-2978Phone: (515) 401-4774Fax: (515) 254-3092
Registry dates
- Enumerated
- 2020-02-17
- Last updated
- 2025-10-05
- Certified
- 2025-10-05
Frequently asked questions
- What is Ikc, LLC's NPI number?
- Ikc, LLC's National Provider Identifier (NPI) is 1659904803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ikc, LLC?
- Ikc, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ikc, LLC located?
- Ikc, LLC's practice location on file with NPPES is 1701 48th St Ste 260, West Des Moines, IA 50266-6726.
- What is Ikc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ikc, LLC is (515) 401-4774.
- Does Ikc, LLC accept Medicare?
- Ikc, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ikc, LLC?
- The authorized official listed on Ikc, LLC's NPPES record is Julie Otten, Revenue Cycle Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ikc, LLC's NPI active?
- Yes — Ikc, LLC's NPI (1659904803) is active in the NPPES registry as of the last update on 2025-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.