Organization Active NPI

Parkersburg Chiropractic, P.C.

  • Chiropractor
  • Parkersburg, IA
National Provider Identifier
1063686673
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06390 Issued in IA
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

Updated by the provider on Dec 20, 2013

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.NPI 1326094368
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
672623OtherIAWELLMARK BCBS PAR
P00314470OtherIARAILROAD MEDICARE
1230367MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090507000178 IA Part B Supplier - Clinic/Group Practice 9436207107 Receives reassigned benefits from 2 practitioners
Practice locations: Parkersburg, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.