Active NPI
Alyssa Herzog, DC
- Chiropractor
- Johnston, IA
National Provider Identifier
1912893603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 130881
- Practice address
- 5705 NW 100TH St Ste 200
Johnston, IA 50131-1858 - Phone
- (515) 444-7031
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 130881 | IA | Primary |
Addresses
Primary practice location
5705 NW 100TH St Ste 200
Johnston, IA 50131-1858
Mailing address
5705 NW 100TH St Ste 200
Johnston, IA 50131-1858
Phone (515) 444-7031
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | JaneApp | Direct | Zen Spine and Sport Clinic |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130881 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Spine and Wellness | Chiropractor | Current | Accepting new patients |
Locations
5705 NW 100th St
Ste 200
Johnston, IA 50131
Phone (515) 444-7031
Organizations & group practices 1
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.
-
- Chiropractor
- Johnston, IA
- NPI 1235026311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1912893603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 NW 100TH ST STE 200",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311858",
"telephone_number": "515-444-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 NW 100TH ST STE 200",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311858",
"telephone_number": "515-444-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZOG",
"first_name": "ALYSSA",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "130881",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "JaneApp",
"affiliation": "Y",
"endpointDescription": "Scheduling and Payment",
"affiliationName": "Zen Spine and Sport Clinic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5705 NW 100th St Ste 200",
"city": "Johnston",
"state": "IA",
"country_code": "US",
"postal_code": "501311858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.