Wilson Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILSON CHIROPRACTIC PLLC

Practice address

5504 Ashworth Rd
West Des Moines, IA 50266-7100

Phone

(515) 225-4002

Fax

(888) 550-7916

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Andrew Wilson, D.C.NPI 1457595043

Title

Manager

Phone

(515) 225-4002

Specialties & licenses 2

Addresses

Other names 2

• Ashworth Chiropractic Doing business as
• Wilson Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Andrew Wilson, D.C.

  • Chiropractor
  • West Des Moines, IA
  • NPI 1457595043
  Medicare reassignment Care Compare group NPD Authorized official
• Kelly Marie Brown Gross, P.T.

  • Physical Therapist
  • West Des Moines, IA
  • NPI 1427060359
  Medicare reassignment Care Compare group NPD
• Matthew L Johns, D.C.

  • Chiropractor
  • West Des Moines, IA
  • NPI 1942293345
  NPD

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1699075010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 ASHWORTH RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667100",
            "telephone_number": "515-225-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 ASHWORTH RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667100",
            "telephone_number": "515-225-4002",
            "fax_number": "888-550-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-225-4002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007172",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashworth Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilson Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Roth Williams, ARNP, FNP-C
• Rebecca M Williams
• Taylor Jenna Williams, LMHC, LPC
• Angela Sue Willis, LPN
• Amber J. Willman, D.C.
• Betsy J Wilson
• Brooke Nicole Wilson, MS, BCBA
• Joshua Bryce Wilson, M.D.
• Matthew Andrew Wilson, D.C.
• Zachary Douglas Wilson

• Chiropractor in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.