Active NPI
Blake Meyer, D.C.
- Chiropractor
- Des Moines, IA
National Provider Identifier
1013348143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 076219
- Practice address
- 411 Laurel St Ste 2390
Des Moines, IA 50314-3070 - Phone
- (515) 243-9287
- Fax
- (515) 243-9287
- NPI assigned
- Nov 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0007061 | CO | |
| Chiropractor | 111N00000X | 076219 | IA | Primary |
Addresses
Primary practice location
411 Laurel St Ste 2390
Des Moines, IA 50314-3070
Mailing address
411 Laurel St Ste 2390
Des Moines, IA 50314-3070
Phone (515) 243-9287
Other practice location 1
201 W County Line Rd
Highlands Ranch, CO 80129-1901
Phone (303) 738-1725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
411 Laurel St
Suite 2390
Des Moines, IA 50314-3070
Phone (515) 243-9287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076219 | IA | MD | Chiropractor |
| 0007061 | CO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Chiropractic and Sports Injury Center, LLC | Chiropractor | Current | Accepting new patients |
| Lewis Family Chiropractic | Chiropractor | Past | Accepting new patients |
| Revolve Spine LLC | Chiropractor | Past | Accepting new patients |
Locations
411 Laurel St
Ste 2390
Des Moines, IA 50314
Phone (515) 243-9287
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Des Moines, IA
- NPI 1073996138
-
- Chiropractor
- Highlands Ranch, CO
- NPI 1831584457
-
- Chiropractor
- Littleton, CO
- NPI 1922546621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1013348143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE 2390",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143070",
"telephone_number": "515-243-9287",
"fax_number": "515-243-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE 2390",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143070",
"telephone_number": "515-243-9287",
"fax_number": "515-243-9287"
}
],
"practiceLocations": [
{
"address_1": "201 W County Line Rd",
"address_purpose": "LOCATION",
"city": "Highlands Ranch",
"state": "CO",
"postal_code": "801291901",
"country_code": "US",
"telephone_number": "303-738-1725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "BLAKE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "0007061",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "076219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.