Active NPI
Jane F Bourgeois DC PC
- Chiropractor
- Iowa City, IA
National Provider Identifier
1124154653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05956
- Legal business name
- JANE F BOURGEOIS DC PC
- Practice address
- 759 S Gilbert St
Iowa City, IA 52240-1729 - Phone
- (319) 337-7890
- Fax
- (319) 337-7890
- NPI assigned
- Feb 26, 2007
- 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. Jane F Bourgeois, DC PC
- Title
- Owner Ceo Cfo Chiropractor
- Phone
- (319) 337-7890
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05956 | IA | Primary |
| Chiropractor | 111N00000X | 3652 | CO | |
| Chiropractor | 111N00000X | 1367 | NM |
Addresses
Primary practice location
759 S Gilbert St
Iowa City, IA 52240-1729
Mailing address
759 S Gilbert St
Iowa City, IA 52240-1729
Phone (319) 337-7890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55437 | Other | IA | WELLMARK BLUE CROSS BLUE |
Other names 1
- Synchronicity Chiropractic & Haeling Arts
National Provider Directory
National Provider DirectoryLocations
759 S Gilbert St
Iowa City, IA 52240
Phone (319) 337-7890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456963200000",
"number": "1124154653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 S GILBERT ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522401729",
"telephone_number": "319-337-7890",
"fax_number": "319-337-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 S GILBERT ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522401729",
"telephone_number": "319-337-7890",
"fax_number": "319-337-7890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANE F BOURGEOIS DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2016-03-03",
"status": "A",
"authorized_official_last_name": "BOURGEOIS",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER CEO CFO CHIROPRACTOR",
"authorized_official_telephone_number": "319-337-7890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC PC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "A05956",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "3652",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NM",
"license": "1367",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BLUE CROSS BLUE",
"identifier": "55437",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Synchronicity Chiropractic & Haeling Arts",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.