Healthcare Provider Details

I. General information

NPI: 1285077552
Provider Name (Legal Business Name): CAPITAL CHIROPRACTIC AND REHABILITATION CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 42ND ST
DES MOINES IA
50312-2616
US

IV. Provider business mailing address

900 42ND ST
DES MOINES IA
50312-2616
US

V. Phone/Fax

Practice location:
  • Phone: 515-421-4018
  • Fax: 515-421-4019
Mailing address:
  • Phone: 515-421-4018
  • Fax: 515-421-4019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CHRISTOPHER ROBERT LORANG
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 515-421-4018