NPIMap

Organization Active NPI

Iowa Integrated Spine Care PLLC

Doing business as Iowa Spine and Performance

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1912675588
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IOWA INTEGRATED SPINE CARE PLLC
Doing business as
Iowa Spine and Performance
Practice address
210 SW 11TH St Ste 3
Des Moines, IA 50309-5325
Phone
(515) 724-0260
Fax
(515) 724-0263
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Dr. Michael Shawn Henrichs Jr., DCNPI 1578070074
Title
Owner/Chiropractor
Phone
(515) 724-0260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

210 SW 11TH St Ste 3
Des Moines, IA 50309-5325

Mailing address

210 SW 11TH St Ste 3
Des Moines, IA 50309-5325
Phone (515) 724-0260

Other names 1

  • Iowa Spine and Performance Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drmike@iowaspineandperformance.com Direct

National Provider Directory

National Provider Directory

Locations

210 SW 11th St
Ste 3
Des Moines, IA 50309
Phone (515) 276-4344

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1912675588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SW 11TH ST STE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095325",
            "telephone_number": "515-724-0260",
            "fax_number": "515-724-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SW 11TH ST STE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503095325",
            "telephone_number": "515-724-0260",
            "fax_number": "515-724-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA INTEGRATED SPINE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "HENRICHS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "515-724-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmike@iowaspineandperformance.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 SW 11th St Ste 3",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503095325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Iowa Spine and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.