Mary M Cheboski, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

A05363 Issued in IA

Practice address

429 S Maple St
Carroll, IA 51401-3129

Phone

(712) 792-1763

NPI assigned

Nov 10, 2006

Last updated

Sep 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carroll Family Chiropractic Center

  • Chiropractor
  • Carroll, IA
  • NPI 1174844948
  Authorized official Same address or phone

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1003987470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S MAPLE ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013129",
            "telephone_number": "712-792-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S MAPLE ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013129",
            "telephone_number": "712-792-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBOSKI",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IA",
            "license": "A05363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Castillo
• Elizabeth Cates, MA
• Centers for Long Term Care of Iowa, Inc (CLC Carroll)
• Vivian Dianne Chance, ARNP
• Drue Chandler, CRNA
• Karla Kay Cheney, MD
• Christensen Chiropractic Clinic, P.C.
• Michael Jon Christensen, D.C., F.I.A.M.A.
• Christy Clark, ARNP
• Mark R Collison, M.D.

• Neurology Chiropractor in Carroll, IA
• Providers in Carroll, IA by specialty
• Neurology Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.