Organization Active NPI

Axial Clinic Ia PC

  • Internal Medicine Physician
  • Des Moines, IA
National Provider Identifier
1346014602
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AXIAL CLINIC IA PC
Practice address
501 SW 7TH St Ste a
Des Moines, IA 50309-4538
Phone
(515) 304-5505
NPI assigned
Nov 8, 2023
Organization subpart
Yes
Parent organization
AXIAL CLINIC IA PCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Alice Heywood
Title
Chef Legal Officer
Phone
(615) 231-8560

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

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

National Provider Directory

Tax ID family
Axial Clinic Ia PC (2 organizations share this tax ID)
Part of
Axial Clinic Ia PC

Locations

501 SW 7th St
Ste A
Des Moines, IA 50309
Phone (515) 243-3161

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

501 SW 7TH St Ste a
Des Moines, IA 50309-4538

Mailing address

209 10TH Ave S Ste 350
Nashville, TN 37203-4166
Phone (615) 345-3555

Other names 1

NPPES NPI Registry
  • Wayspring Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2025.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1346014602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE S STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034166",
            "telephone_number": "615-345-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SW 7TH ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503094538",
            "telephone_number": "515-304-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIAL CLINIC IA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXIAL CLINIC IA PC",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "HEYWOOD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CHEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-231-8560"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayspring Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wayspring Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2025; 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.