Midway Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06817 Issued in IA

Legal business name

MIDWAY CHIROPRACTIC CLINIC

Practice address

2021 Highway 130
Bennett, IA 52721-9601

Phone

(563) 890-6275

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By 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. Tara Sue Pratt, D.C.NPI 1891763900

Title

Doctor of Chiropractic

Phone

(563) 890-6275

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Tara Sue Pratt, DC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1891763900
  NPD (past) Authorized official
• Daniel W Howes, DC

  • Chiropractor
  • Davenport, IA
  • NPI 1033499793
  NPD (past)
• Erin Elizabeth Norby, D.C.

  • Chiropractor
  • Bennett, IA
  • NPI 1881835932
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114002250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 HIGHWAY 130",
            "city": "BENNETT",
            "state": "IA",
            "postal_code": "527219601",
            "telephone_number": "563-890-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 HIGHWAY 130",
            "city": "BENNETT",
            "state": "IA",
            "postal_code": "527219601",
            "telephone_number": "563-890-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "563-890-6275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476648",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39898",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bennett Community School District
• Bennett Volunteer Ambulance Service
• City of Bennett
• Erin Elizabeth Norby, D.C.

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.