Organization Active NPI

Fistler Chiropractic LLC

  • Chiropractor
  • Rockwell City, IA
National Provider Identifier
1063931384
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
088331 Issued in IA
Legal business name
FISTLER CHIROPRACTIC LLC
Practice address
401 Court St
Rockwell City, IA 50579-1416
Phone
(712) 887-1089
NPI assigned
Sep 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Dr. Tyler Fistler, DCNPI 1689193708
Title
Doctor of Chiropractic
Phone
(712) 887-1089

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 088331 IA Primary

Addresses

Primary practice location

401 Court St
Rockwell City, IA 50579-1416

Mailing address

401 Court St
Rockwell City, IA 50579-1416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171117002211 IA Part B Supplier - Clinic/Group Practice 4880950245 Receives reassigned benefits from 1 practitioner
Practice locations: Rockwell City, IA

National Provider Directory

National Provider Directory

Locations

401 Court St
Rockwell City, IA 50579
Phone (712) 297-2026

Practitioners & affiliated clinicians

Practitioners 4

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": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1063931384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COURT ST",
            "city": "ROCKWELL CITY",
            "state": "IA",
            "postal_code": "505791416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COURT ST",
            "city": "ROCKWELL CITY",
            "state": "IA",
            "postal_code": "505791416",
            "telephone_number": "712-887-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISTLER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "FISTLER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "712-887-1089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "088331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwell City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.