Individual provider Active NPI

Tanner Michael Hemer, D.C.

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1932830627
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
115188 Issued in IA
Practice address
4825 Ep True Pkwy Ste 103
West Des Moines, IA 50265-6403
Phone
(515) 328-8538
NPI assigned
Jun 22, 2022
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 115188 IA Primary

Addresses

Primary practice location

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

Mailing address

9328 Parkside LN
Urbandale, IA 50322-5273
Phone (712) 371-3605

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@renewchirodsm.com

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
115188IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1932830627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9328 PARKSIDE LN",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225273",
            "telephone_number": "712-371-3605"
        },
        {
            "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": {
        "last_name": "HEMER",
        "first_name": "TANNER",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "115188",
            "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.