COLORADO CHIROPRACTIC AND SPORTS INJURY CENTER, LLC (NPI# 1073996138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073996138 |
| Entity Type | Organization |
| Organization Name | COLORADO CHIROPRACTIC AND SPORTS INJURY CENTER, LLC |
| Other Organization Name | KC CORE |
| Practice Address |
411 Laurel St Suite 2380 Des Moines IA 50314-3017 |
| Mailing Address |
55 Abigail Ln Waukee IA 50263-8743 |
| Practice Telephone | 5158368185 |
| Mailing Telephone | 5158368185 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | DR. BLAKE DAVID MEYER (SOLE OWNER) |
| Authorized Official Telephone | 5158368185 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 076219 | IA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| KC CORE | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Chiropractic and Sports Injury Center, LLC | 411 Laurel St, Suite 2390, West Des Moines, IA 50314 |
| Iowa Business Entities | COLORADO CHIROPRACTIC AND SPORTS INJURY CENTER, LLC | 411 Laurel St, Suite 2390, Des Moines, IA 50314 |
| Street Address |
411 LAUREL ST SUITE 2380 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104593 | Diagnostic & Critical Care Medicine | Internal Medicine | 411 Laurel St, Ste 3275, Des Moines, IA 50314-3027 | 2005-06-20 |
| 1194292979 | Lindsey Kay Bruns | Nurse Anesthetist, Certified Registered | 411 Laurel St, Des Moines, IA 50314-3017 | 2018-10-30 |
| 1013458074 | Wendy Sontag | Social Worker | 411 Laurel St, Suite 2380, Des Moines, IA 50314-3017 | 2017-03-10 |
| 1437696705 | Maura Eileen Schaefer | Nurse Anesthetist, Certified Registered | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2017-01-25 |
| 1265891154 | Shannon Becker | Nurse Practitioner | 411 Laurel St, Suite 3310, Des Moines, IA 50314-3017 | 2016-02-19 |
| 1104295823 | Medical Oncology & Hematology Associates Ptrshp | Internal Medicine | 411 Laurel St, Suite 300a, Des Moines, IA 50314-3017 | 2015-09-23 |
| 1821475534 | Michelle Elizabeth Krupski | Nurse Anesthetist, Certified Registered | 411 Laurel St, Suite 3170, Des Moines, IA 50314-3017 | 2015-05-01 |
| 1124422142 | Athletico Ltd | Occupational Therapist | 411 Laurel St, Suite 1300, Des Moines, IA 50314-3017 | 2014-10-20 |
| 1598168437 | Alohalani Taylor | Nurse Practitioner | 411 Laurel St, Des Moines, IA 50314-3017 | 2014-10-07 |
| 1417358953 | Abigail Deignan | Nurse Practitioner | 411 Laurel St, Suite 3310, Des Moines, IA 50314-3017 | 2014-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174197 | Ryan Hartley | Chiropractor | 900 42nd St, Des Moines, IA 50312-2616 | 2020-11-02 |
| 1114498896 | Amanda Carver | Chiropractor | 4131 46th St, Des Moines, IA 50310-2827 | 2018-12-06 |
| 1639647266 | Allison Paige Roth | Chiropractor | 2301 Ingersoll Ave Ste 200, Des Moines, IA 50312-5271 | 2018-11-13 |
| 1104308410 | Urgent Care Chiropractic - Kent | Chiropractor | 23040 Pacific Hwy S # 100, Des Moines, WA 98198-7268 | 2018-09-04 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1528502424 | Penny Hanson | Chiropractor | 855 E Court Ave, Ste. 4, Des Moines, IA 50309-4902 | 2016-12-12 |
| 1013348143 | Blake Meyer | Chiropractor | 411 Laurel St Ste 2390, Des Moines, IA 50314-3070 | 2013-11-27 |
| 1578802674 | Aalborg-glenn Family Chiropractic | Chiropractor | 4503 E 50th St, Suite 600, Des Moines, IA 50317-4729 | 2013-02-08 |
| 1912263690 | Chiro Plus | Chiropractor | 1000 Army Post Rd, Des Moines, IA 50315-5572 | 2012-04-06 |
| 1851668982 | Matthew David Donnolly | Chiropractor | 1612 46th St, Des Moines, IA 50310-3021 | 2011-11-17 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
Please comment or provide details below to improve the information on COLORADO CHIROPRACTIC AND SPORTS INJURY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.