South Des Moines Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05847 Issued in IA

Legal business name

SOUTH DES MOINES CHIROPRACTIC

Practice address

3300 SW 9TH St Ste 3
Suite 3
Des Moines, IA 50315-7666

Phone

(515) 244-1823

Fax

(515) 244-4887

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sara Lynnae Neil, DCNPI 1508841206

Title

Owner

Phone

(515) 244-1823

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

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

• Sara Lynnae Neil, D.C.

  • Chiropractor
  • Des Moines, IA
  • NPI 1508841206
  Medicare reassignment NPD Authorized official
• Andrew Clement, D.C.

  • Chiropractor
  • Des Moines, IA
  • NPI 1205018140
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1497870653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SW 9TH ST",
            "address_2": "SUITE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503157676",
            "telephone_number": "515-244-1823",
            "fax_number": "515-244-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SW 9TH ST STE 3",
            "address_2": "SUITE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503157666",
            "telephone_number": "515-244-1823",
            "fax_number": "515-244-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DES MOINES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNNAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-244-1823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129692",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INS ID",
            "identifier": "19819",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Sontag, LISW
• Kassie Rae Sopher, DDS
• Sarah Sorvillo, CPM LM
• Naisha Sosa-Cintron, MD
• Soul Helping Souls
• South Des Moines Dental
• Kristen South, PHARMD
• Jessica Anne Southard, PA
• Southwest Medical Transportation
• Kimberly Denise Souza, FNP

• Chiropractor in Des Moines, IA
• Providers in 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 Jan 10, 2014; 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.