Kenneth W Van Wyk

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

Organization subpart

No

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.

Title

Owner

Phone

(641) 628-3511

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Nathan Luther Lester, D.C.

  • Chiropractor
  • Grinnell, IA
  • NPI 1386868727
  NPD (past)
• Cassie Ann Meylor, DC

  • Chiropractor
  • Lakeside, IA
  • NPI 1871006858
  NPD (past)
• Carl Jay Beukelman, D.C.

  • Chiropractor
  • Loveland, CO
  • NPI 1578617536
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280271",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "28027",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Emily Kay-Ostrander, MS,IAADC
• Carrie Anne Kelderman, BSN, RN
• Michelle Kellar, LMHC
• Cara Shannon Kelley, NCC, LMHC
• Christina Noel Kelley, PA
• Timothy E Kinkade, CRNA
• Carol Angela Kiser, PHARM D
• Lisa Ann Kisling, PHYSICAL THERAPIST
• Knoxville Community Hospital Inc
• Jill Marian Konfrst, ARNP

• All providers in Pella, IA
• Chiropractor in Iowa

• 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.