Organization Active NPI

Renew Chiropractic and Wellness, PLLC

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1790490803
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RENEW CHIROPRACTIC AND WELLNESS, PLLC
Practice address
4825 Ep True Pkwy Ste 103
West Des Moines, IA 50265-6403
Phone
(515) 328-8538
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Tanner Hemer, DC
Title
Owner
Phone
(515) 328-8538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4825 Ep True Pkwy Ste 103
West Des Moines, IA 50265-6403

Mailing address

4825 Ep True Pkwy Ste 103
West Des Moines, IA 50265-6403
Phone (515) 328-8538

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@renewchirodsm.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1790490803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 EP TRUE PKWY STE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656403",
            "telephone_number": "515-328-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 EP TRUE PKWY STE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502656403",
            "telephone_number": "515-328-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW CHIROPRACTIC AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "HEMER",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-328-8538",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@renewchirodsm.com",
            "affiliation": "N",
            "address_1": "4825 Ep True Pkwy Ste 103",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502656403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 23, 2023; 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.