Organization Active NPI

Iowa Chiropractic of Grimes PC

  • Chiropractor
  • Grimes, IA
National Provider Identifier
1124691266
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IOWA CHIROPRACTIC OF GRIMES PC
Practice address
1451 SE 3Rd St Ste 100
Grimes, IA 50111-4847
Phone
(515) 452-0250
NPI assigned
Jul 16, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Aaron Martin, DCNPI 1154410843
Title
Owner
Phone
(515) 964-3000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1451 SE 3Rd St Ste 100
Grimes, IA 50111-4847

Mailing address

1451 SE 3Rd St Ste 100
Grimes, IA 50111-4847
Phone (515) 452-0250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210812001688 IA Part B Supplier - Clinic/Group Practice 3577967512 Receives reassigned benefits from 2 practitioners
Practice locations: Grimes, IA

National Provider Directory

National Provider Directory

Locations

1451 SE 3rd St
Ste 100
Grimes, IA 50111
Phone (515) 452-0250

Practitioners & affiliated clinicians

Practitioners 3

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": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1124691266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 SE 3RD ST STE 100",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501114847",
            "telephone_number": "515-452-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 SE 3RD ST STE 100",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501114847",
            "telephone_number": "515-452-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA CHIROPRACTIC OF GRIMES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-964-3000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.