Organization Active NPI

Kenneth W Van Wyk

  • Chiropractor
  • Pella, IA
National Provider Identifier
1124151832
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KENNETH W VAN WYK
Practice address
911 Washington St
Pella, IA 50219-1503
Phone
(641) 628-3511
Fax
(641) 628-1055
NPI assigned
Mar 13, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Kenneth W Van Wyk, D.C.NPI 1144369844
Title
Owner
Phone
(641) 628-3511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

911 Washington St
Pella, IA 50219-1503

Mailing address

911 Washington St
Pella, IA 50219-1503
Phone (641) 628-3511

National Provider Directory

National Provider Directory

Locations

4119 Rollins Ave
Des Moines, IA 50312
Phone (515) 274-6104

911 Washington St
Pella, IA 50219
Phone (515) 628-3511

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1124151832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191503",
            "telephone_number": "641-628-3511",
            "fax_number": "641-628-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WASHINGTON ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191503",
            "telephone_number": "641-628-3511",
            "fax_number": "641-628-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W VAN WYK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-12-05",
        "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": "641-628-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "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 Pella, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.