IKC, LLC - NPI 1659904803 - Clinic/Center in West Des Moines, IA

Q: What is Ikc, LLC's NPI number?

The NPI number for Ikc, LLC is 1659904803. It was assigned to this organization in the NPPES registry on February 17, 2020. The provider is doing business as Iowa Ketamine Clinic.

Q: What is Ikc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ikc, LLC was last updated on October 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Ikc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IKC, LLC (NPI 1659904803), doing business as Iowa Ketamine Clinic, is a healthcare organization registered as a clinic/center in West Des Moines, Iowa and active in the NPI registry since February 2020. The organization maintains a secondary practice location in Ankeny and lists Julie Otten, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1659904803

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameIKC, LLC

Location Address1701 48TH ST STE 260West Des Moines, IA 50266-6726

Mailing Address1701 48th St Ste 260West Des Moines, IA 50266-6726 · (515) 401-4774 · Fax (515) 254-3092

Phone(515) 401-4774

Fax(515) 254-3092

Organization SubpartNo

Authorized OfficialJulie OttenRevenue Cycle Director · (515) 710-8720

Enumeration DateFebruary 17, 2020

Last NPPES UpdateOctober 5, 20252 updates tracked since enumeration

NPPES CertifiedOctober 5, 2025

✔ NPI 1659904803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1701 48TH ST STE 260, West Des Moines, IA 50266

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Other Names 1

Doing Business AsIowa Ketamine Clinic

Secondary Practice Location 1

Location 11960 SW Magazine RdAnkeny, IA 50023-2978 · Phone (515) 401-4774 · Fax (515) 254-3092

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IOWA KETAMINE INFUSION, LLC

Clinic/Center (Infusion Therapy)