Organization Active NPI

Bohnenkamp Chiropractic P.C.

Doing business as Summit Chiropractic

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1669629879
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007085 Issued in IA
Legal business name
BOHNENKAMP CHIROPRACTIC P.C.
Doing business as
Summit Chiropractic
Practice address
4217 University Ave
Des Moines, IA 50311-3421
Phone
(515) 460-3160
Fax
(515) 277-0377
NPI assigned
Aug 20, 2008
Last updated
Jan 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Dr. Matthew Bohnenkamp, D.C.NPI 1295998680
Title
President
Phone
(515) 460-3160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007085 IA Primary

Addresses

Primary practice location

4217 University Ave
Des Moines, IA 50311-3421

Mailing address

4217 University Ave
Des Moines, IA 50311-3421
Phone (515) 460-3160

Other names 1

  • Summit Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

102 SE 30th St
Ankeny, IA 50021
Phone (515) 964-9644

2913 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 255-3021

Practitioners & affiliated clinicians

Practitioners 1

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1669629879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503113421",
            "telephone_number": "515-460-3160",
            "fax_number": "515-277-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503113421",
            "telephone_number": "515-460-3160",
            "fax_number": "515-277-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHNENKAMP CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "BOHNENKAMP",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-460-3160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 4, 2018; 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.