Innate Enterprises LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INNATE ENTERPRISES LLC

Practice address

219 SW 3Rd St
Ankeny, IA 50023-3034

Phone

(515) 895-4927

NPI assigned

Dec 2, 2025

Organization subpart

Yes

Parent organization

INNATE ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Walter Dale Kimberlin Jr., D.C.NPI 1316004781

Title

Chiropractor

Phone

(515) 895-4927

Specialties & licenses 1

Addresses

Part of

Innate Enterprises LLC

Locations

Practitioners 1

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

• Walter Dale Kimberlin Jr., D.C.

  • Chiropractor
  • Port Ewen, NY
  • NPI 1316004781
  NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1134081763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SW 3RD ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233034",
            "telephone_number": "515-895-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SW 3RD ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233034",
            "telephone_number": "515-895-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNATE  ENTERPRISES LLC",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "KIMBERLIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "515-895-4927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.