Fordyce Chiropractic & Acupuncture PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORDYCE CHIROPRACTIC & ACUPUNCTURE PLLC

Doing business as

Fordyce Chiropractic & Acupuncture

Practice address

4201 Westown Pkwy Ste 190
West Des Moines, IA 50266-6720

Phone

(515) 401-1058

NPI assigned

Apr 25, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy James Fordyce, DCNPI 1710434600

Title

Owner

Phone

(515) 401-1058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fordyce Chiropractic & Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy James Fordyce, D.C.

  • Chiropractor
  • West Des Moines, IA
  • NPI 1710434600
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1053055046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY STE 190",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-401-1058",
            "fax_number": "515-401-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY STE 190",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-401-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDYCE CHIROPRACTIC & ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "FORDYCE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-401-1058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0134263",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fordyce Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fordyce Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Timothy James Fordyce, D.C.
• Abi Lynn Fortsch, M.A., CFY-SLP
• Forward Path Wellness
• Bryan Foster, PA-C
• Kristina A Foster, PT, DPT

• Chiropractor in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.