Organization Active NPI

Penning Chiropractic LLC.

  • Chiropractor
  • Windsor Heights, IA
National Provider Identifier
1992400634
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PENNING CHIROPRACTIC LLC.
Practice address
6900 University Ave Ste 108
Windsor Heights, IA 50324-1505
Phone
(515) 274-6104
NPI assigned
Apr 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Jay Vincent Penning, DCNPI 1568902633
Title
Doctor of Chiropractic
Phone
(712) 540-8457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6900 University Ave Ste 108
Windsor Heights, IA 50324-1505

Mailing address

6900 University Ave Ste 108
Windsor Heights, IA 50324-1505

Other names 1

  • Des Moines Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230701000232 IA Part B Supplier - Clinic/Group Practice 6305205865 Receives reassigned benefits from 1 practitioner
Practice locations: Windsor Heights, IA

National Provider Directory

National Provider Directory

Locations

6900 University Ave
Ste 10
Windsor Heights, IA 50324
Phone (515) 274-6104

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1992400634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 UNIVERSITY AVE STE 108",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 UNIVERSITY AVE STE 108",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241505",
            "telephone_number": "515-274-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNING CHIROPRACTIC LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "PENNING",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "712-540-8457",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Des Moines Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor Heights, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.