NPIMap

Organization Active NPI

Reset DSM LLC

Doing business as Reset Des Moines

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1174074058
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06784 Issued in IA
Legal business name
RESET DSM LLC
Doing business as
Reset Des Moines
Practice address
1905 Ingersoll Ave
Des Moines, IA 50309-3305
Phone
(515) 221-0883
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. Kory Pohlman, D.C.NPI 1588630396
Title
Owner
Phone
(515) 205-9831

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 SINGLE SPECIALTY GROUP 111N00000X 06784 IA Primary

Addresses

Primary practice location

1905 Ingersoll Ave
Des Moines, IA 50309-3305

Mailing address

1905 Ingersoll Ave
Des Moines, IA 50309-3305
Phone (515) 221-0883

Other names 1

  • Reset Des Moines Doing business as

National Provider Directory

National Provider Directory

Locations

1905 Ingersoll Ave
Des Moines, IA 50309
Phone (515) 221-0883

Practitioners & affiliated clinicians

Practitioners 1

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1174074058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093305",
            "telephone_number": "515-221-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093305",
            "telephone_number": "515-221-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESET DSM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "POHLMAN",
        "authorized_official_first_name": "KORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-205-9831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reset Des Moines",
            "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 Oct 17, 2016; 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.