Individual provider Active NPI

Kimberly Mae Schmidt, D.C.

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1780933291
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007552 Issued in IA
Practice address
1121 Jordan Creek Pkwy Ste 100
West Des Moines, IA 50266-5816
Phone
(319) 239-2343
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 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 007552 IA Primary

Addresses

Primary practice location

1121 Jordan Creek Pkwy Ste 100
West Des Moines, IA 50266-5816

Mailing address

1121 Jordan Creek Pkwy Ste 100
West Des Moines, IA 50266-5816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007552IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Health Systems Inc Chiropractor CurrentSince Jan 3, 2017 Accepting new patients
Elite Health Systems Inc Chiropractor CurrentSince Jan 22, 2013 Accepting new patients

Locations

2393 Cumberland Square Dr
Bettendorf, IA 52722
Phone (309) 752-3118

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1780933291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JORDAN CREEK PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JORDAN CREEK PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665816",
            "telephone_number": "319-239-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KIMBERLY",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007552",
            "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 Apr 9, 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.