Timothy James Fordyce, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

075932 Issued in IA

Practice address

4201 Westown Pkwy Ste 190
West Des Moines, IA 50266-6720

Phone

(515) 401-1058

Fax

(515) 401-1059

NPI assigned

Sep 8, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fordyce Chiropractic & Acupuncture PLLC

  dba Fordyce Chiropractic & Acupuncture

  • Chiropractor
  • West Des Moines, IA
  • NPI 1053055046
  Medicare reassignment NPD Authorized official
• Ballenger Chiropractic & Acupuncture, PLLC

  • Community Health Clinic/Center
  • West Des Moines, IA
  • NPI 1851616577
  Medicare reassignment NPD

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1710434600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY STE 190",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-401-1058",
            "fax_number": "515-401-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY STE 190",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-401-1058",
            "fax_number": "515-401-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDYCE",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "075932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "39841",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119044",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Fondie
• Foods Inc (Dahl's Pharmacy)
• Foods, Inc (Dahl's Pharmacy)
• Ireland Forbes
• Fordyce Chiropractic & Acupuncture PLLC (Fordyce Chiropractic & Acupuncture)
• Abi Lynn Fortsch, M.A., CFY-SLP
• Forward Path Wellness
• Bryan Foster, PA-C
• Kristina A Foster, PT, DPT
• Fountain Health Centers, Inc. (Heritage Court Assisted Living)

• 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 Sep 21, 2022; 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.