Matthew Andrew Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007172 Issued in IA

Practice address

5504 Ashworth Rd
West Des Moines, IA 50266-7100

Phone

(515) 225-4002

Fax

(888) 550-7916

NPI assigned

Apr 27, 2009

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Wilson Chiropractic PLLCGroup PAC ID 4587849096, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilson Chiropractic PLLC

  dba Ashworth Chiropractic

  • Chiropractor
  • West Des Moines, IA
  • NPI 1699075010
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1457595043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E NORTH ST",
            "city": "MADRID",
            "state": "IA",
            "postal_code": "501561145",
            "telephone_number": "515-423-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 ASHWORTH RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667100",
            "telephone_number": "515-225-4002",
            "fax_number": "888-550-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MATTHEW",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber J. Willman, D.C.
• Wilson Chiropractic PLLC (Ashworth Chiropractic)
• Betsy J Wilson
• Brooke Nicole Wilson, MS, BCBA
• Joshua Bryce Wilson, M.D.
• Zachary Douglas Wilson
• Alayna Therese Wiltgen, LMHC
• Mary Elizabeth Wims
• Susanne Elizabeth Windheuser, RPH
• Randall Carl Wing, D.D.S., M.S.

• Chiropractor in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.