Organization Active NPI

Jane F Bourgeois DC PC

  • Chiropractor
  • Iowa City, IA
National Provider Identifier
1124154653
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05956 Issued in IA
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

Updated by the provider on Mar 3, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X A05956 IA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3652 CO
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
55437OtherIAWELLMARK BLUE CROSS BLUE

Other names 1

  • Synchronicity Chiropractic & Haeling Arts Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.