Active NPI
Taylor Haazen Gerardus Vanden Wynboom, D.C.
- Chiropractor
- Ames, IA
National Provider Identifier
1255625828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007397
- Practice address
- 214 5TH St
Ames, IA 50010-6202 - Phone
- (641) 512-1582
- NPI assigned
- Jun 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007397 | IA | Primary |
Addresses
Primary practice location
214 5TH St
Ames, IA 50010-6202
Mailing address
214 5TH St
Ames, IA 50010-6202
Phone (641) 512-1582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 S 50TH St
West Des Moines, IA 50265-6992
Phone (515) 422-9552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007397 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vero Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Vero LLC | Chiropractor | Current | Accepting new patients |
| Proprioception Inc | Current | Accepting new patients |
Locations
2675 N Ankeny Blvd
Ste 113
Ankeny, IA 50023
Phone (515) 289-4549
630 S 50th St
West Des Moines, IA 50265
Phone (515) 422-9552
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- West Des Moines, IA
- NPI 1841731171
-
- Physical Therapy Clinic/Center
- Ankeny, IA
- NPI 1962081091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1255625828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 5TH ST",
"city": "AMES",
"state": "IA",
"postal_code": "500106202",
"telephone_number": "641-512-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 5TH ST",
"city": "AMES",
"state": "IA",
"postal_code": "500106202",
"telephone_number": "641-512-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEN WYNBOOM",
"first_name": "TAYLOR",
"middle_name": "HAAZEN GERARDUS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-01",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.