NPIMap

Organization Active NPI

Full Circle Wellness Center, LLC

  • Chiropractor
  • Clive, IA
National Provider Identifier
1073881884
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007479 Issued in IA
Legal business name
FULL CIRCLE WELLNESS CENTER, LLC
Practice address
13435 University Ave Ste 150
Clive, IA 50325-8250
Phone
(515) 226-2155
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Robert Johnson Adams, D.CNPI 1609143734
Title
Manager
Phone
(515) 226-2155

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 007479 IA Primary

Addresses

Primary practice location

13435 University Ave Ste 150
Clive, IA 50325-8250

Mailing address

13435 University Ave Ste 150
Clive, IA 50325-8250
Phone (515) 226-2155

National Provider Directory

National Provider Directory

Locations

13435 University Ave
Ste 150
Clive, IA 50325
Phone (515) 226-2155

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1073881884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13435 UNIVERSITY AVE STE 150",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258250",
            "telephone_number": "515-226-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13435 UNIVERSITY AVE STE 150",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258250",
            "telephone_number": "515-226-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-226-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.