Organization Active NPI

Chiropractic Center PC

  • Chiropractor
  • Knoxville, IA
National Provider Identifier
1104053149
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05960 Issued in IA
Legal business name
CHIROPRACTIC CENTER PC
Practice address
204 E. Mongomery St.
Knoxville, IA 50138-2240
Phone
(641) 842-2239
Fax
(641) 842-2239
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Dr. Edward Scott Coyle, D.C.
Title
Chiropractor
Phone
(641) 842-2239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05960 IA Primary

Addresses

Primary practice location

204 E. Mongomery St.
Knoxville, IA 50138-2240

Mailing address

204 E. Mongomery St.
Knoxville, IA 50138-2240
Phone (641) 842-2239

Other identifiers 1

IdentifierTypeStateIssuer
1148999MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1104053149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E. MONGOMERY ST.",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382240",
            "telephone_number": "641-842-2239",
            "fax_number": "641-842-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E. MONGOMERY ST.",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382240",
            "telephone_number": "641-842-2239",
            "fax_number": "641-842-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "641-842-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148999",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.