Active NPI
Parkersburg Chiropractic, P.C.
- Chiropractor
- Parkersburg, IA
National Provider Identifier
1063686673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06390
- Legal business name
- PARKERSBURG CHIROPRACTIC, P.C.
- Practice address
- 238 3Rd St
Parkersburg, IA 50665-0237 - Phone
- (319) 346-2812
- Fax
- (319) 346-1008
- NPI assigned
- Apr 15, 2008
- 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
- Dr. Adam Lee Hoogestraat, D.C.
- Title
- Manager
- Phone
- (319) 346-2812
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06390 | IA | Primary |
Addresses
Primary practice location
238 3Rd St
Parkersburg, IA 50665-0237
Mailing address
238 3Rd St
P.O. Box 237
Parkersburg, IA 50665-0237
Phone (319) 346-2812
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 672623 | Other | IA | WELLMARK BCBS PAR |
| P00314470 | Other | IA | RAILROAD MEDICARE |
| 1230367 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Waterloo, IA
- NPI 1326094368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387497600000",
"number": "1063686673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 3RD ST",
"address_2": "P.O. BOX 237",
"city": "PARKERSBURG",
"state": "IA",
"postal_code": "506650237",
"telephone_number": "319-346-2812",
"fax_number": "319-346-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 3RD ST",
"city": "PARKERSBURG",
"state": "IA",
"postal_code": "506650237",
"telephone_number": "319-346-2812",
"fax_number": "319-346-1008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKERSBURG CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2013-12-20",
"status": "A",
"authorized_official_last_name": "HOOGESTRAAT",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "319-346-2812",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "06390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS PAR",
"identifier": "672623",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00314470",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1230367",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.