Individual provider Active NPI

Timothy Russell Sexton, D.C.

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1235225947
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06387 Issued in IA
Practice address
6221 SE 14TH St
Des Moines, IA 50320-1708
Phone
(515) 287-3993
Fax
(515) 287-3044
NPI assigned
Oct 4, 2006
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06387 IA Primary

Addresses

Primary practice location

6221 SE 14TH St
Des Moines, IA 50320-1708

Mailing address

6221 SE 14TH St
Des Moines, IA 50320-1708
Phone (515) 988-3613

Other identifiers 1

IdentifierTypeStateIssuer
24151OtherIABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000794 IA Practitioner - Chiropractic 9234128679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6221 SE 14TH St
Des Moines, IA 50320-1708
Phone (515) 287-3993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06387IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sexton Chiropractic & Wellness Chiropractor CurrentSince Jun 19, 2007 Accepting new patients
Advance Chiropractic Clinic P.C. Chiropractor PastSince Jan 1, 2008 Accepting new patients

Locations

5921 SE 14th St
Ste 200
Des Moines, IA 50320
Phone (515) 287-3993

6221 SE 14th St
Des Moines, IA 50320
Phone (515) 287-3993

909 Army Post Rd
Des Moines, IA 50315
Phone (515) 287-3993

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1235225947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201708",
            "telephone_number": "515-988-3613",
            "fax_number": "515-287-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201708",
            "telephone_number": "515-287-3993",
            "fax_number": "515-287-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "TIMOTHY",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24151",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.