Anthony Haddad, DC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

094070 Issued in IA

Practice address

1395 Jordan St Ste D
North Liberty, IA 52317-4759

Phone

(319) 774-3811

NPI assigned

Dec 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family and Sport Chiropractic LLCGroup PAC ID 6507097037, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family and Sport Chiropractic LLC

  • Chiropractor
  • Coralville, IA
  • NPI 1639590581
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1073084182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 JORDAN ST STE D",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174759",
            "telephone_number": "319-774-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 JORDAN ST STE D",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174759",
            "telephone_number": "319-774-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "094070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Blake Goldish, MD
• Jessica Graham
• Cameron Ann Graykowski
• Brandy K Greene, PHARMD, BCPS
• Bethany Gugliano, LISW
• Mary Katherine Hagerty, DPT
• Kiana Hamilton
• Haden Alin Hammel, DC
• Hanger Prosthetics & Orthotics East Inc
• Hanger Prosthetics & Orthotics East Inc

• Chiropractor in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.