Active NPI
Regenexx LLC
- Physical Medicine & Rehabilitation Physician
- Des Moines, IA
National Provider Identifier
1134426331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Harbor View Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Kansas City, MO
- NPI 1417314857
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.