Individual provider Active NPI

Michael Shawn Henrichs Jr., DC

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1578070074
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
090328 Issued in IA
Practice address
210 SW 11TH St
Ste 3
Des Moines, IA 50309-5325
Phone
(515) 276-4344
NPI assigned
Jan 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 090328 IA Primary

Addresses

Primary practice location

210 SW 11TH St
Ste 3
Des Moines, IA 50309-5325

Mailing address

210 SW 11TH St
Ste 3
Des Moines, IA 50309-5325
Phone (515) 238-6293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090328IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Integrated Spine Care PLLC Chiropractor CurrentSince Sep 5, 2021 Accepting new patients

Locations

210 SW 11th St
Ste 3
Des Moines, IA 50309
Phone (515) 276-4344

Organizations & group practices 1

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1578070074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SW 11TH ST",
            "address_2": "STE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095325",
            "telephone_number": "515-238-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SW 11TH ST",
            "address_2": "STE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095325",
            "telephone_number": "515-276-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICHS",
        "first_name": "MICHAEL",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "090328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.