Organization Active NPI

Preventative Health Care LLC

  • Rehabilitation Chiropractor
  • West Des Moines, IA
National Provider Identifier
1083836241
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
06708 Issued in IA
Legal business name
PREVENTATIVE HEALTH CARE LLC
Practice address
1300 50TH St
Lower Level Suite 106
West Des Moines, IA 50266-5499
Phone
(515) 225-2578
Fax
(515) 225-2598
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Joseph C Bennett, DCNPI 1952333569
Title
President
Phone
(515) 225-2578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X 06708 IA Primary

Addresses

Primary practice location

1300 50TH St
Lower Level Suite 106
West Des Moines, IA 50266-5499

Mailing address

2213 Grand Avenue
Des Moines, IA 50312-5305
Phone (515) 237-3974

National Provider Directory

National Provider Directory

Locations

1300 50th St
Ste 106
West Des Moines, IA 50266
Phone (515) 225-2578

1300 50th St
Lowr
West Des Moines, IA 50266
Phone (515) 225-2578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1083836241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVENUE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 50TH ST",
            "address_2": "LOWER LEVEL SUITE 106",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665499",
            "telephone_number": "515-225-2578",
            "fax_number": "515-225-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTATIVE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-225-2578",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IA",
            "license": "06708",
            "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 Jul 24, 2007; 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.