Fangman Family Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FANGMAN FAMILY CHIROPRACTIC, P.C.

Practice address

200 SE Gateway Dr Ste 103
Grimes, IA 50111-2182

Phone

(511) 986-4003

NPI assigned

Nov 2, 2018

Last updated

Dec 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Fangman, DCNPI 1396212551

Title

Owner, President, Doctor

Phone

(515) 986-4003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Charles Fangman, DC

  • Chiropractor
  • Grimes, IA
  • NPI 1396212551
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543622400000",
    "number": "1043788565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE GATEWAY DR STE 103",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112182",
            "telephone_number": "515-986-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE GATEWAY DR STE 103",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112182",
            "telephone_number": "511-986-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANGMAN FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-12-01",
        "status": "A",
        "authorized_official_last_name": "FANGMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, DOCTOR",
        "authorized_official_telephone_number": "515-986-4003",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Iowa Therapeutics PC (Athletico Physical Therapy)
• Ellingson Chiropractic P C
• Elohim Home Care LLC
• Faith Residential Care LLC
• Family Logistics LLC
• Samuel Charles Fangman, DC
• Nicole Elizabeth Finkenauer, NP-C
• Foundation Chiropractic & Wellness, PC
• Blake Brandon Franzeen, O.D.
• Ryann Michelle Freitas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.