Organization Active NPI

Michael Manley DC PC

  • Chiropractor
  • Le Mars, IA
National Provider Identifier
1124209564
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05555 Issued in IA
Legal business name
MICHAEL MANLEY DC PC
Practice address
129 1St St NW
Le Mars, IA 51031-3507
Phone
(712) 546-5944
NPI assigned
Nov 14, 2007
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Michael Joseph Manley, D. C.NPI 1962531186
Title
President
Phone
(712) 546-5944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05555 IA Primary

Addresses

Primary practice location

129 1St St NW
Le Mars, IA 51031-3507

Mailing address

129 1St St NW
Le Mars, IA 51031-3507
Phone (712) 546-5944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001601 IA Part B Supplier - Clinic/Group Practice 5799779534 Receives reassigned benefits from 1 practitioner
Practice locations: Le Mars, IA

National Provider Directory

National Provider Directory

Locations

129 1st St NW
Le Mars, IA 51031
Phone (712) 546-5944

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1124209564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 1ST ST NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313507",
            "telephone_number": "712-546-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 1ST ST NW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313507",
            "telephone_number": "712-546-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MANLEY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-546-5944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.