Active NPI
Zwiefel Chiropractic Inc.
- Chiropractor
- Clear Lake, IA
National Provider Identifier
1093990285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05999
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1155234 | Medicaid | IA | |
| 1609843283 | Other | IA | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryNPI 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.