NPIMap

Organization Active NPI

West End Chiropractic LLC

Doing business as West End Chiropractic

  • Chiropractor
  • Clive, IA
National Provider Identifier
1407323215
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WEST END CHIROPRACTIC LLC
Doing business as
West End Chiropractic
Practice address
12931 University Ave Ste 103
Clive, IA 50325-8282
Phone
(515) 223-9896
Fax
(855) 301-8183
NPI assigned
Oct 30, 2018
Last updated
Oct 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Dr. Justin Behnke, DCNPI 1215404157
Title
Co-Owner
Phone
(563) 581-2658

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

12931 University Ave Ste 103
Clive, IA 50325-8282

Mailing address

12931 University Ave Ste 103
Clive, IA 50325-8282
Phone (515) 223-9896

Other names 1

  • West End Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181219000412 IA Part B Supplier - Clinic/Group Practice 3072858026 Receives reassigned benefits from 3 practitioners
Practice locations: Clive, IA

National Provider Directory

National Provider Directory

Locations

12931 University Ave
Ste 103
Clive, IA 50325
Phone (515) 223-9896

Practitioners & affiliated clinicians

Practitioners 3

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": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1407323215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 UNIVERSITY AVE STE 103",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258282",
            "telephone_number": "515-223-9896",
            "fax_number": "855-301-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12931 UNIVERSITY AVE STE 103",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258282",
            "telephone_number": "515-223-9896",
            "fax_number": "855-301-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "BEHNKE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "563-581-2658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.