Waukee Chiropractic and Acupuncture PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WAUKEE CHIROPRACTIC AND ACUPUNCTURE PLLC

Doing business as

Advanced Chiropractic and Acupuncture

Practice address

1218 SE University Ave
Waukee, IA 50263-8831

Phone

(712) 299-1527

NPI assigned

Jul 1, 2019

Last updated

Oct 30, 2019By 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. Gareth Patrick Lourens, DCNPI 1215586219

Title

Owner

Phone

(515) 987-1290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Chiropractic and Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 3

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.

• Gareth Patrick Lourens, DC

  • Chiropractor
  • Waukee, IA
  • NPI 1215586219
  Medicare reassignment Care Compare group Authorized official
• Cassie Ann Meylor, DC

  • Chiropractor
  • Lakeside, IA
  • NPI 1871006858
  Medicare reassignment Care Compare group
• Rebecca Jean Schleuger-Valadao, A.R.N.P.

  • Family Nurse Practitioner
  • Waukee, IA
  • NPI 1265722250
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1083276885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 SE UNIVERSITY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638831",
            "telephone_number": "515-987-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 SE UNIVERSITY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638831",
            "telephone_number": "712-299-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKEE CHIROPRACTIC AND ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "LOURENS",
        "authorized_official_first_name": "GARETH",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-987-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410942",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Steven Waage, DDS
• Robert Thomas Wade, MS, DDS
• Walnut Hills Pediatric Dentistry, L.L.C.
• Laura Renee Walter, PT
• Lori Walton, SLP
• Waukee Community School District
• Waukee Senior Housing II, LLC (The Village at Legacy Pointe Nursing Facility)
• Waukee Surgery Center LLC
• Waukee Wellness & Chiropractic, PC
• Ruth Helen Webb, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.