NPIMap

Organization Active NPI

Optimum Chiropractic PC

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1629354832
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007464 Issued in IA
Legal business name
OPTIMUM CHIROPRACTIC PC
Practice address
7205 Vista Dr
Suite 104
West Des Moines, IA 50266-9360
Phone
(515) 225-9200
NPI assigned
Nov 1, 2011
Last updated
Jun 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Dr. Brett Matthew Vowles, D.C.NPI 1871823369
Title
President
Phone
(515) 225-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007464 IA Primary

Addresses

Primary practice location

7205 Vista Dr
Suite 104
West Des Moines, IA 50266-9360

Mailing address

7205 Vista Dr
Suite 104
West Des Moines, IA 50266-9360
Phone (515) 225-9200

Other practice location 1

8088 Douglas Ave
Urbandale, IA 50322-2450
Phone (515) 252-7070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111128000586 IA Part B Supplier - Clinic/Group Practice 3274707450 Receives reassigned benefits from 8 practitioners
Practice locations: Des Moines, IA; Urbandale, IA; West Des Moines, IA

National Provider Directory

National Provider Directory
Tax ID family
Optimum Chiropractic PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2545 E Euclid Ave
Ste 130
Des Moines, IA 50317
Phone (515) 225-9200

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1629354832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 VISTA DR",
            "address_2": "SUITE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502669360",
            "telephone_number": "515-225-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 VISTA DR",
            "address_2": "SUITE 104",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502669360",
            "telephone_number": "515-225-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8088 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503222450",
            "country_code": "US",
            "telephone_number": "515-252-7070",
            "fax_number": "515-225-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "VOWLES",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-225-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007464",
            "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 Jun 6, 2019; 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.