Organization Active NPI

Regenexx LLC

  • Physical Medicine & Rehabilitation Physician
  • Des Moines, IA
National Provider Identifier
1134426331
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REGENEXX LLC
Practice address
6151 Thornton Ave Ste 400
Des Moines, IA 50321-2408
Phone
(515) 298-7208
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Matthew Ashton Phelps
Title
Director Corporate Accounts
Phone
(515) 633-7128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

6151 Thornton Ave Ste 400
Des Moines, IA 50321-2408

Mailing address

6151 Thornton Ave Ste 400
Des Moines, IA 50321-2408
Phone (515) 421-4076

Other names 1

  • Regenexx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harbor View Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6151 Thornton Ave
Ste 20
Des Moines, IA 50321
Phone (515) 421-4090

6151 Thornton Ave
Ste 400
Des Moines, IA 50321
Phone (515) 298-7208

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1134426331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 THORNTON AVE STE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212408",
            "telephone_number": "515-421-4076",
            "fax_number": "515-809-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 THORNTON AVE STE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212408",
            "telephone_number": "515-298-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENEXX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ASHTON",
        "authorized_official_title_or_position": "DIRECTOR CORPORATE ACCOUNTS",
        "authorized_official_telephone_number": "515-633-7128"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regenexx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.