Matthew Thomas Bohnenkamp, D.C.
Individual provider Active NPI Chiropractor · Des Moines, IA
NPI 1295998680 · NPPES record last updated Jan 4, 2018
Key facts
- NPI
- 1295998680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 007085 (IA)
- Practice address
- 4217 University Ave
Des Moines, IA 50311-3421 - Phone
- (515) 460-3160
- Fax
- (515) 277-0377
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007085 | IA | Yes |
Addresses
Primary practice location
4217 University Ave
Des Moines, IA 50311-3421
Mailing address
4217 University Ave
Des Moines, IA 50311-3421
Phone (515) 460-3160
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.