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

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

State licenses

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 and National Provider Directory roles.

• Wilson Chiropractic PLLC

  • 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
• 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.