NPIMap

Organization Active NPI

Kenneth W Van Wyk

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1053444166
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KENNETH W VAN WYK
Practice address
6900 University Ave Ste 108
Des Moines, IA 50311-1505
Phone
(515) 274-6104
Fax
(515) 255-3355
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Kenneth W Van Wyk
Title
Owner
Phone
(515) 274-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6900 University Ave Ste 108
Des Moines, IA 50311-1505

Mailing address

6900 University Ave Ste 108
Des Moines, IA 50311-1505
Phone (515) 274-6104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1053444166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 UNIVERSITY AVE STE 108",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503111505",
            "telephone_number": "515-274-6104",
            "fax_number": "515-255-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 UNIVERSITY AVE STE 108",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503111505",
            "telephone_number": "515-274-6104",
            "fax_number": "515-255-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W VAN WYK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "VAN WYK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-274-6104",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.