Organization Active NPI

Optimum Chiropractic PC

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1275156705
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMUM CHIROPRACTIC PC
Practice address
8088 Douglas Ave
Urbandale, IA 50322-2450
Phone
(515) 225-9200
Fax
(515) 225-0123
NPI assigned
May 19, 2020
Organization subpart
Yes
Parent organization
OPTIMUM CHIROPRACTIC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Dr. Brett Vowles, DCNPI 1871823369
Title
Ceo
Phone
(563) 579-4629

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

8088 Douglas Ave
Urbandale, IA 50322-2450

Mailing address

7205 Vista Dr Ste 104
West Des Moines, IA 50266-9360
Phone (515) 225-9200

National Provider Directory

National Provider Directory
Tax ID family
Optimum Chiropractic PC3 organizations share this tax ID, including this one
Part of
Optimum Chiropractic PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1275156705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 VISTA DR STE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502669360",
            "telephone_number": "515-225-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8088 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222450",
            "telephone_number": "515-225-9200",
            "fax_number": "515-225-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CHIROPRACTIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMUM CHIROPRACTIC PC",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "VOWLES",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-579-4629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.