Active NPI
Optimal Wellness Chiropractic
- Health Service Clinic/Center
- Cedar Rapids, IA
National Provider Identifier
1063101871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- OPTIMAL WELLNESS CHIROPRACTIC
- Practice address
- 214 Blairs Ferry Rd NE Unit 2
Cedar Rapids, IA 52402-1602 - Phone
- (319) 378-1515
- NPI assigned
- May 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronni Lee Miller, DC
- Title
- Chiropractor
- Phone
- (815) 541-7968
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
214 Blairs Ferry Rd NE Unit 2
Cedar Rapids, IA 52402-1602
Mailing address
505 Enterprise CT Apt 8
Independence, IA 50644-1233
Phone (815) 541-7968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
214 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 378-1515
214 Blairs Ferry Rd NE
Unit 2
Cedar Rapids, IA 52402
Phone (319) 378-1515
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1427746023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1063101871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ENTERPRISE CT APT 8",
"city": "INDEPENDENCE",
"state": "IA",
"postal_code": "506441233",
"telephone_number": "815-541-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 BLAIRS FERRY RD NE UNIT 2",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524021602",
"telephone_number": "319-378-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL WELLNESS CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-08",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "RONNI",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "815-541-7968",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.