Individual provider Active NPI

Josiah Fitzsimmons, DC

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1568993574
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
085940 Issued in IA
Practice address
630 S 50TH St
West Des Moines, IA 50265-6992
Phone
(515) 422-9552
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 085940 IA Primary

Addresses

Primary practice location

630 S 50TH St
West Des Moines, IA 50265-6992

Mailing address

630 S 50TH St
West Des Moines, IA 50265-6992
Phone (515) 422-9552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170323001026 IA Practitioner - Chiropractic 4284919721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Chiropractic PLLCGroup PAC ID 2466737903, 9 clinicians

Practice addresses (Care Compare)

630 S 50TH St
West Des Moines, IA 50265-6992
Phone (515) 422-9552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085940IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vero LLC Chiropractor CurrentSince Dec 1, 2022 Accepting new patients
Vero Chiropractic PLLC Chiropractor CurrentSince May 1, 2017 Accepting new patients

Locations

5525 Mills Civic Pkwy
Ste 120A
West Des Moines, IA 50266
Phone (515) 422-9552

630 S 50th St
West Des Moines, IA 50265
Phone (515) 422-9552

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1568993574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S 50TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656992",
            "telephone_number": "515-422-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S 50TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656992",
            "telephone_number": "515-422-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "JOSIAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "085940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.