NPIMap

Organization Active NPI

Healthsource of Cedar Rapids SW, LLC

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1114295284
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06595 Issued in IA
Legal business name
HEALTHSOURCE OF CEDAR RAPIDS SW, LLC
Practice address
3726 Queen CT SW
Suite 103
Cedar Rapids, IA 52404-3903
Phone
(319) 373-7576
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Mr. Rory Paul Moravetz, D.C.
Title
President
Phone
(319) 390-2037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06595 IA Primary

Addresses

Primary practice location

3726 Queen CT SW
Suite 103
Cedar Rapids, IA 52404-3903

Mailing address

3726 Queen CT SW
Suite 103
Cedar Rapids, IA 52404-3903
Phone (319) 373-7576

Other names 1

  • HealthSource of Cedar Rapids Southwest P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

3726 Queen Ct SW
Ste 103
Cedar Rapids, IA 52404
Phone (319) 373-7576

Practitioners & affiliated clinicians

Practitioners 5

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": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1114295284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 QUEEN CT SW",
            "address_2": "SUITE 103",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043903",
            "telephone_number": "319-373-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 QUEEN CT SW",
            "address_2": "SUITE 103",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043903",
            "telephone_number": "319-373-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF CEDAR RAPIDS SW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "MORAVETZ",
        "authorized_official_first_name": "RORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-390-2037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Cedar Rapids Southwest P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.