Organization Active NPI

Zwiefel Chiropractic Inc.

  • Chiropractor
  • Clear Lake, IA
National Provider Identifier
1093990285
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05999 Issued in IA
Legal business name
ZWIEFEL CHIROPRACTIC INC.
Practice address
401 S 15TH St
Clear Lake, IA 50428-2303
Phone
(641) 357-3393
Fax
(641) 357-4228
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Korey J Zwiefel, B.S., D.C.
Title
Chiropractor
Phone
64135733933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05999 IA Primary

Addresses

Primary practice location

401 S 15TH St
Clear Lake, IA 50428-2303

Mailing address

401 S 15TH St
Clear Lake, IA 50428-2303
Phone (641) 357-3393

Other identifiers 2

IdentifierTypeStateIssuer
1155234MedicaidIA
1609843283OtherIAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1093990285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 15TH ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504282303",
            "telephone_number": "641-357-3393",
            "fax_number": "641-357-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 15TH ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504282303",
            "telephone_number": "641-357-3393",
            "fax_number": "641-357-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZWIEFEL CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "ZWIEFEL",
        "authorized_official_first_name": "KOREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "64135733933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1155234",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1609843283",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clear Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.