Individual provider Active NPI

Logan Dabney, DC

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1609411032
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
098663 Issued in IA
Practice address
5525 Mills Civic Pkwy Ste 120a
West Des Moines, IA 50266-5311
Phone
(515) 422-9552
NPI assigned
Nov 8, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 098663 IA Primary

Addresses

Primary practice location

5525 Mills Civic Pkwy Ste 120a
West Des Moines, IA 50266-5311

Mailing address

5525 Mills Civic Pkwy Ste 120a
West Des Moines, IA 50266-5311
Phone (515) 422-9552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120001657 IA Practitioner - Chiropractic 8224460811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
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
098663IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vero LLC Chiropractor CurrentSince Sep 11, 2022 Accepting new patients
Vero Chiropractic PLLC Chiropractor CurrentSince Oct 30, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1609411032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 MILLS CIVIC PKWY STE 120A",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665311",
            "telephone_number": "515-422-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 MILLS CIVIC PKWY STE 120A",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665311",
            "telephone_number": "515-422-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABNEY",
        "first_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "098663",
            "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 Nov 8, 2019; 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.