Organization Active NPI

Serenity Spine and Wellness

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1235026311
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SERENITY SPINE AND WELLNESS
Practice address
5705 NW 100TH St Ste 200
Johnston, IA 50131-1858
Phone
(515) 444-7031
NPI assigned
Jun 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Alyssa Lorraine Herzog, DCNPI 1912893603
Title
Chiropractor
Phone
(515) 444-7031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5705 NW 100TH St Ste 200
Johnston, IA 50131-1858

Mailing address

5705 NW 100TH St Ste 200
Johnston, IA 50131-1858
Phone (515) 444-7031

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL JaneApp Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1235026311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 NW 100TH ST STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311858",
            "telephone_number": "515-444-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 NW 100TH ST STE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311858",
            "telephone_number": "515-444-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SPINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "515-444-7031",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JaneApp",
            "affiliation": "N",
            "endpointDescription": "Scheduling/Payment",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5705 NW 100th St Ste 200",
            "city": "Johnston",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501311858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.