Acree Chiropractic Clinic PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06740 Issued in IA

Legal business name

ACREE CHIROPRACTIC CLINIC PLC

Practice address

300 S 25TH St
Fort Dodge, IA 50501-4316

Phone

(515) 955-7724

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Benjamin AcreeNPI 1588619431

Title

President

Phone

(515) 955-7724

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Benjamin Acree, D.C.

  • Chiropractor
  • Fort Dodge, IA
  • NPI 1588619431
  Medicare reassignment NPD Authorized official
• Tabitha Lynn Acree, LISW

  • Clinical Social Worker
  • Fort Dodge, IA
  • NPI 1205012242
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1114101870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 25TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 25TH ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014316",
            "telephone_number": "515-955-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACREE CHIROPRACTIC CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "ACREE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-955-7724",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A-1 Home Healthcare Service Co
• A-1 Home Healthcare Service Co
• Tabitha Lynn Acree, LISW
• William Benjamin Acree, D.C.
• Active Health Clinics
• Alexandra Adam, ARNP
• Debra Marie Adams, ARNP

• All providers in Fort Dodge, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.