Thiele Chiropractic & Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

072217 Issued in IA

Legal business name

THIELE CHIROPRACTIC & WELLNESS, LLC

Practice address

5010 Mills Civic Pkwy
Ste. 102
West Des Moines, IA 50265-5267

Phone

(515) 777-9771

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Cory Michael Thiele, DCNPI 1811062441

Title

Chiropractor

Phone

(360) 601-7610

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Cory M Thiele, D.C.

  • Chiropractor
  • West Des Moines, IA
  • NPI 1811062441
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1255755880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 MILLS CIVIC PKWY",
            "address_2": "STE. 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655267",
            "telephone_number": "515-777-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 MILLS CIVIC PKWY",
            "address_2": "STE. 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655267",
            "telephone_number": "515-777-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIELE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "THIELE",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-601-7610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "072217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas K Koithan PC
• Alayna Thomas
• Elizabeth Christine Thomas
• Phelan Rico Thomas, DDS

• Clinic/Center in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.