Individual provider Active NPI

Blake Meyer, D.C.

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1013348143
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
076219 Issued in IA
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150824002352 IA Practitioner - Chiropractic 0648586453 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
076219IAMDChiropractor
0007061COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Chiropractic and Sports Injury Center, LLC Chiropractor CurrentSince Oct 1, 2015 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.

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.

Verify at the official NPI Registry.