Provider Demographics
NPI:1134907223
Name:DSM FAMILY WELLNESS LLC
Entity type:Organization
Organization Name:DSM FAMILY WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-306-8174
Mailing Address - Street 1:330 1ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-4683
Mailing Address - Country:US
Mailing Address - Phone:515-306-8174
Mailing Address - Fax:
Practice Address - Street 1:330 1ST ST STE 100
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-4683
Practice Address - Country:US
Practice Address - Phone:515-306-8174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty