Os Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007397 Issued in IA

Legal business name

OS CORP

Practice address

214 5TH St
Ames, IA 50010-6202

Phone

(641) 512-1582

Fax

(515) 233-9513

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Taylor Haazen Gerardus Vanden Wynboom, D.C.

Title

President/Chiropractor

Phone

(515) 233-1866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1891081600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 5TH ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106202",
            "telephone_number": "641-512-1582",
            "fax_number": "515-233-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 5TH ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106202",
            "telephone_number": "641-512-1582",
            "fax_number": "515-233-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "VANDEN WYNBOOM",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "HAAZEN GERARDUS",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "515-233-1866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.