Waukee Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05949 Issued in IA

Legal business name

WAUKEE CHIROPRACTIC CENTER PC

Practice address

2180 NW 156TH St
Suite 102
Clive, IA 50325-7982

Phone

(515) 987-0299

Fax

(515) 989-7586

NPI assigned

Mar 7, 2016

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Trent Julian Fugere, D.C.NPI 1033204532

Title

Chiropractor

Phone

(515) 987-0299

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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.

• Trent J Fugere, D.C.

  • Chiropractor
  • Clive, IA
  • NPI 1033204532
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1083074819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 UNIVERSITY AVE",
            "address_2": "SUITE 2106",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661745",
            "telephone_number": "515-987-0299",
            "fax_number": "515-989-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 NW 156TH ST",
            "address_2": "SUITE 102",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257982",
            "telephone_number": "515-987-0299",
            "fax_number": "515-989-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEE CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "FUGERE",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "515-987-0299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Wargo, PSY.D.
• Molly Warner, M.S., CCC-SLP
• Tammy J Watkins, D.C.
• Zachary Ryan Watkins, DC
• Tricia Leann Watts
• Brooklynn Marie Way, TLMHC
• Corey R Weaver, ARNP
• Lydia Jane Krzyzak Weir
• Michelle Lynn Welsh, R.PH.
• West End Chiropractic LLC (West End Chiropractic)

• Chiropractor in Clive, IA
• Providers in Clive, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.