Tri-States Clinic of Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06694 Issued in IA

Legal business name

TRI-STATES CLINIC OF CHIROPRACTIC, P.C.

Practice address

419 N Grandview Ave
Ste 200
Dubuque, IA 52001-6363

Phone

(563) 585-0800

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Michael O'Donnell, D.C.NPI 1306995824

Title

President

Phone

(563) 585-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Dennis Michael O'Donnell, D.C.

  • Chiropractor
  • Dubuque, IA
  • NPI 1306995824
  NPD (past) Authorized official
• Vicki Lea Souder, D.C.

  • Chiropractor
  • Dubuque, IA
  • NPI 1083763593
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003969494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N GRANDVIEW AVE",
            "address_2": "STE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016363",
            "telephone_number": "563-585-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N GRANDVIEW AVE",
            "address_2": "STE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016363",
            "telephone_number": "563-585-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATES CLINIC OF CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-585-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0456202",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Townclock Mental Health PC
• Heidi Elizabeth Townsend, MD
• Tri-State Family Practice LLP
• Tri-State Surgery Center, L.L.C.
• Tri-State Vein Center
• True Health Chiropractic and Acupuncture, P.C.
• Truly Balanced, L.L.C.
• Bryan Nicholas Trumm, M.D., D.P.T.
• Lauren E Trumm, ARNP
• Thomas Michael Tschudi, RN

• Chiropractor in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.