Individual provider Active NPI

Brandon Vinzant, D.C.

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1043515810
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007362 Issued in IA
Practice address
6150 Village View Dr
Suite 107
West Des Moines, IA 50266-5872
Phone
(515) 450-0362
NPI assigned
Jan 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10172 FL
Chiropractor 111N00000X 007362 IA Primary

Addresses

Primary practice location

6150 Village View Dr
Suite 107
West Des Moines, IA 50266-5872

Mailing address

6150 Village View Dr
Suite 107
West Des Moines, IA 50266-5872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000359 IA Practitioner - Chiropractic 9032374491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6150 Village View Dr
Suite 107
West Des Moines, IA 50266-5889
Phone (515) 440-0047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10172FLMDChiropractor
007362IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Integrated Health, LLC CurrentSince Mar 23, 2017 Accepting new patients

Locations

6150 Village View Dr
Ste 107
West Des Moines, IA 50266
Phone (515) 440-0047

Organizations & group practices 1

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": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1043515810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 VILLAGE VIEW DR",
            "address_2": "SUITE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 VILLAGE VIEW DR",
            "address_2": "SUITE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665872",
            "telephone_number": "515-450-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINZANT",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10172",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.