Individual provider Active NPI

Matthew L Johns, D.C.

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1942293345
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
124592 Issued in IA
Practice address
5504 Ashworth Rd
West Des Moines, IA 50266-7100
Phone
(515) 225-4002
Fax
(888) 550-7916
NPI assigned
Aug 31, 2005
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2547-012 WI
Chiropractor 111N00000X 124592 IA Primary

Addresses

Primary practice location

5504 Ashworth Rd
West Des Moines, IA 50266-7100

Mailing address

1113 Hunter CT
Adel, IA 50003-2217
Phone (414) 687-2273

Other practice location 1

1113 Hunter Ct
Adel, IA 50003-2217
Phone (414) 687-2273

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
124592IAMDChiropractor
2547-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Audiology & Hearing Center, LLC CurrentSince Jun 26, 2020 Accepting new patients
Wilson Chiropractic PLLC Chiropractor CurrentSince Nov 24, 2024 Accepting new patients
Chiropractic Company S.C. Chiropractor PastSince Mar 26, 2017 Accepting new patients

Locations

5504 Ashworth Rd
West Des Moines, IA 50266
Phone (515) 225-4002

4818 S 76th St
Ste 12
Milwaukee, WI 53220
Phone (414) 281-8300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1942293345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 HUNTER CT",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032217",
            "telephone_number": "414-687-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 ASHWORTH RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667100",
            "telephone_number": "515-225-4002",
            "fax_number": "888-550-7916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Hunter Ct",
            "address_purpose": "LOCATION",
            "city": "Adel",
            "state": "IA",
            "postal_code": "500032217",
            "country_code": "US",
            "telephone_number": "414-687-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2547-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "124592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 18, 2024; 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.