Individual provider Active NPI

Sandy Lynn Baber Bowman, D.C.

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1689695793
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06942 Issued in IA
Practice address
2600 University Ave
Ste 212
West Des Moines, IA 50266-1462
Phone
(515) 223-1222
Fax
(515) 223-1221
NPI assigned
Jul 22, 2006
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06942 IA Primary

Addresses

Primary practice location

2600 University Ave
Ste 212
West Des Moines, IA 50266-1462

Mailing address

2600 University Ave
Ste 212
West Des Moines, IA 50266-1462
Phone (515) 223-1222

Other identifiers 1

IdentifierTypeStateIssuer
58205OtherIAWELLMARK BLUE CROSS

Other names 1

  • Sandra Lynn Baber Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000063 IA Practitioner - Chiropractic 4284738709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowman Chiropractic LLCGroup PAC ID 1850576158, 3 clinicians

Practice addresses (Care Compare)

2600 University Ave
Suite 212
West Des Moines, IA 50266-1462
Phone (515) 223-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06942IAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Connerly Chiropractic Services Inc Chiropractor Past Accepting new patients

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1689695793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 UNIVERSITY AVE",
            "address_2": "STE 212",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661462",
            "telephone_number": "515-223-1222",
            "fax_number": "515-223-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 UNIVERSITY AVE",
            "address_2": "STE 212",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661462",
            "telephone_number": "515-223-1222",
            "fax_number": "515-223-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "SANDY",
        "middle_name": "LYNN BABER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "58205",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BABER",
            "middle_name": "LYNN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 25, 2018; 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.