Organization Active NPI

Sexton Chiropractic & Wellness

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1366647307
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06387 Issued in IA
Legal business name
SEXTON CHIROPRACTIC & WELLNESS
Practice address
6221 SE 14TH St
Des Moines, IA 50320-1708
Phone
(515) 287-3993
Fax
(515) 287-3044
NPI assigned
Jun 19, 2007
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Timothy R Sexton, DCNPI 1235225947
Title
Clinic Director
Phone
(515) 287-3993

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 06387 IA Primary

Addresses

Primary practice location

6221 SE 14TH St
Des Moines, IA 50320-1708

Mailing address

6221 SE 14TH St
Des Moines, IA 50320-1708
Phone (515) 988-3613

Other identifiers 2

IdentifierTypeStateIssuer
0744367MedicaidIA
24151OtherIABC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080123000404 IA Part B Supplier - Clinic/Group Practice 8325120835 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, IA
O20240807001741 IA Part B Supplier - Clinic/Group Practice 5294272381 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

5921 SE 14th St
Ste 200
Des Moines, IA 50320
Phone (515) 287-3993

909 Army Post Rd
Des Moines, IA 50315
Phone (515) 287-3993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1366647307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201708",
            "telephone_number": "515-988-3613",
            "fax_number": "515-287-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201708",
            "telephone_number": "515-287-3993",
            "fax_number": "515-287-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEXTON CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "515-287-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0744367",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "24151",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2024; 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.