NPIMap

Organization Active NPI

Pohlman Chiropractic PC

Doing business as Jordan Creek Chiropractic

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1235105040
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06784 Issued in IA
Legal business name
POHLMAN CHIROPRACTIC PC
Doing business as
Jordan Creek Chiropractic
Practice address
7450 Bridgewood Blvd
Suite 230
West Des Moines, IA 50266-8112
Phone
(515) 221-0883
Fax
(515) 221-0885
NPI assigned
Feb 23, 2006
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Kory Pohlman, D.C.NPI 1588630396
Title
Owner
Phone
(515) 221-0883

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
Chiropractor 111N00000X 06784 IA Primary

Addresses

Primary practice location

7450 Bridgewood Blvd
Suite 230
West Des Moines, IA 50266-8112

Mailing address

7450 Bridgewood Blvd
Suite 230
West Des Moines, IA 50266-8112
Phone (515) 221-0883

Other identifiers 2

IdentifierTypeStateIssuer
0480848MedicaidIA
03162OtherIABLUE CROSS BLUE SHIELD

Other names 1

  • Jordan Creek Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1300 NW 100th St
Ste 1000
Clive, IA 50325
Phone (515) 221-0883

Practitioners & affiliated clinicians

Practitioners 2

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": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1235105040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 BRIDGEWOOD BLVD",
            "address_2": "SUITE 230",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668112",
            "telephone_number": "515-221-0883",
            "fax_number": "515-221-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 BRIDGEWOOD BLVD",
            "address_2": "SUITE 230",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668112",
            "telephone_number": "515-221-0883",
            "fax_number": "515-221-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POHLMAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "POHLMAN",
        "authorized_official_first_name": "KORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-221-0883",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480848",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03162",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Creek Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.