Organization Active NPI

Riverview Chiropractic Center P.C.

  • Chiropractor
  • Clinton, IA
National Provider Identifier
1073692976
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06560 Issued in IA
Legal business name
RIVERVIEW CHIROPRACTIC CENTER P.C.
Practice address
822 S 4TH St
Clinton, IA 52732-5729
Phone
(563) 242-1512
NPI assigned
Nov 3, 2006
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Mr. Kristian Joel Kakavas, DCNPI 1437102217
Title
Owner
Phone
(563) 242-1512

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
Chiropractor 111N00000X 06560 IA Primary

Addresses

Primary practice location

822 S 4TH St
Clinton, IA 52732-5729

Mailing address

822 S 4TH St
Clinton, IA 52732-5729
Phone (563) 242-1512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061130000004 IA Part B Supplier - Clinic/Group Practice 0143227033 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, IA

National Provider Directory

National Provider Directory

Locations

2318 Pershing Blvd
Clinton, IA 52732
Phone (319) 242-1512

822 S 4th St
Clinton, IA 52732
Phone (563) 242-1512

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1073692976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325729",
            "telephone_number": "563-242-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325729",
            "telephone_number": "563-242-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "KAKAVAS",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-242-1512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.