Vita Chiropractic & Wellness,

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VITA CHIROPRACTIC & WELLNESS,

Practice address

450 SE University Ave
Waukee, IA 50263-8121

Phone

(575) 978-1870

NPI assigned

May 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Brianna Elizabeth Bahnsen, DCNPI 1669739504

Title

President

Phone

(515) 978-1870

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brianna Elizabeth Bahnsen, D.C.

  • Chiropractor
  • Waukee, IA
  • NPI 1669739504
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1952090318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14429 BRIARWOOD LN",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232032",
            "telephone_number": "641-330-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SE UNIVERSITY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638121",
            "telephone_number": "575-978-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA CHIROPRACTIC & WELLNESS,",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "BAHNSEN",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-978-1870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1669739504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Waukee, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.