Organization Active NPI

Bloyer Chiropractic and Wellness

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1083945620
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007273 Issued in IA
Legal business name
BLOYER CHIROPRACTIC AND WELLNESS
Practice address
513 NE Delaware Ave
#1101
Ankeny, IA 50021-6621
Phone
(515) 657-2799
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Kevin William Bloyer, D.C.NPI 1730419813
Title
Owner
Phone
(515) 657-2799

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007273 IA Primary

Addresses

Primary practice location

513 NE Delaware Ave
#1101
Ankeny, IA 50021-6621

Mailing address

513 NE Delaware Ave
#1101
Ankeny, IA 50021-6621
Phone (515) 657-2799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000496 IA Part B Supplier - Clinic/Group Practice 0042341547 Receives reassigned benefits from 2 practitioners
Practice locations: Ankeny, IA

National Provider Directory

National Provider Directory

Locations

114 NW 9th St
#3
Ankeny, IA 50023
Phone (515) 964-1969

Practitioners & affiliated clinicians

Practitioners 2

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": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1083945620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NE DELAWARE AVE",
            "address_2": "#1101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216621",
            "telephone_number": "515-657-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 NE DELAWARE AVE",
            "address_2": "#1101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216621",
            "telephone_number": "515-657-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOYER CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "BLOYER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-657-2799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.