Individual provider Active NPI

Derek Ray Bechtel

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1942917828
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
117239 Issued in IA
Practice address
800 S 50TH St Ste 100
West Des Moines, IA 50265-5382
Phone
(515) 343-7937
NPI assigned
Nov 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 117239 IA Primary

Addresses

Primary practice location

800 S 50TH St Ste 100
West Des Moines, IA 50265-5382

Mailing address

9132 Spring Crest LN
West Des Moines, IA 50266-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103001579 IA Practitioner - Chiropractic 7315395076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Potential Chiropractic LLCGroup PAC ID 6002185915, 4 clinicians

Practice addresses (Care Compare)

60 SE Laurel St
Waukee, IA 50263-8299
Phone (515) 325-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bechtel Chiropractic and Wellness Chiropractor CurrentSince Sep 18, 2023 Accepting new patients
Key Potential Chiropractic LLC Chiropractor CurrentSince Mar 10, 2025 Accepting new patients

Locations

60 SE Laurel St
Waukee, IA 50263
Phone (515) 325-4325

800 S 50th St
Ste 100
West Des Moines, IA 50265
Phone (515) 343-7937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1942917828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9132 SPRING CREST LN",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 50TH ST STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655382",
            "telephone_number": "515-343-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHTEL",
        "first_name": "DEREK",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "117239",
            "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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.