Active NPI
Emmetsburg Chiropractic, Inc.
- Chiropractor
- Emmetsburg, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A06016
- Legal business name
- EMMETSBURG CHIROPRACTIC, INC.
- Practice address
- 2301 Main St
Emmetsburg, IA 50536-1552 - Phone
- (712) 852-3773
- Fax
- (712) 852-3773
- NPI assigned
- Nov 30, 2006
- Last updated
- Aug 22, 2020
- 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. James Bird, D.C.
- Title
- Chiropractor
- Phone
- (712) 852-3773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A06016 | IA | Primary |
Addresses
Primary practice location
2301 Main St
Emmetsburg, IA 50536-1552
Mailing address
2301 Main St
Emmetsburg, IA 50536-1552
Phone (712) 852-3773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0234674 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2103525 | Emmetsburg Chiropractic Clinic | Certificate of waiver | Oct 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
2301 Main St
Emmetsburg, IA 50536
Phone (712) 852-3773
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Chiropractor
- Emmetsburg, IA
- NPI 1346263050
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- Emmetsburg, IA
- NPI 1487462651
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- Pediatric Chiropractor
- Swisher, IA
- NPI 1588980411
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- Chiropractor
- Cloquet, MN
- NPI 1760498398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104993328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 MAIN ST",
"city": "EMMETSBURG",
"state": "IA",
"postal_code": "505361552",
"telephone_number": "712-852-3773",
"fax_number": "712-852-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 MAIN ST",
"city": "EMMETSBURG",
"state": "IA",
"postal_code": "505361552",
"telephone_number": "712-852-3773",
"fax_number": "712-852-3773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMMETSBURG CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BIRD",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "712-852-3773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "A06016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0234674",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Emmetsburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.