Colorado Chiropractic and Sports Injury Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

076219 Issued in IA

Legal business name

COLORADO CHIROPRACTIC AND SPORTS INJURY CENTER, LLC

Practice address

411 Laurel St
Suite 2380
Des Moines, IA 50314-3017

Phone

(515) 836-8185

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Blake David Meyer, D.C.NPI 1013348143

Title

Sole Owner

Phone

(515) 836-8185

Specialties & licenses 1

Addresses

Other names 1

• KC CORE Other name

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.

• Blake Meyer, D.C.

  • Chiropractor
  • Des Moines, IA
  • NPI 1013348143
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1073996138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ABIGAIL LN",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638743",
            "telephone_number": "515-836-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE 2380",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-836-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CHIROPRACTIC AND SPORTS INJURY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "515-836-8185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "076219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC CORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David C Collier, D.D.S.
• Collin E. Pehde DPM, PLLC
• Amanda Leigh Collins Messman, PH.D.
• Teri Lynn Collins, RD LD
• Robert Austin Colman, M.D.
• Keith Allan Colwell, DDS
• Kimberly Comer, LMSW
• Comfor Caring LLC
• Comfort Caring LLC
• Community Access & Life Management, Inc

• Chiropractor in Des Moines, IA
• Providers in 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 Jul 7, 2015; 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.