Individual provider Active NPI

Jack Allen Tressel, DC

  • Chiropractor
  • Dyersville, IA
National Provider Identifier
1124814595
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
130556 Issued in IA
Practice address
115 1St Ave W
Dyersville, IA 52040-1104
Phone
(563) 875-9255
NPI assigned
Apr 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 130556 IA Primary

Addresses

Primary practice location

115 1St Ave W
Dyersville, IA 52040-1104

Mailing address

1290 Highway 35 N
East Dubuque, IL 61025-9676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250424003421 IA Practitioner - Chiropractic 8628594496 Reassigns benefits to 1 organization
I20251230000965 WI Practitioner - Chiropractic 8628594496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2025
Medicare assignment
May accept Medicare assignment
Group practices
City Chiropractic IncGroup PAC ID 7810020062, 2 clinicians
Chiropractic Associates of Platteville LLCGroup PAC ID 3779560347, 6 clinicians

Practice addresses (Care Compare)

115 1St Ave W
Dyersville, IA 52040-1104
Phone (563) 875-9255

470 S Water St
Platteville, WI 53818-3607
Phone (608) 348-3156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130556IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Platteville LLC Chiropractor CurrentSince Dec 1, 2025 Accepting new patients
City Chiropractic Inc Chiropractor CurrentSince Apr 15, 2025 Accepting new patients

Locations

115 1st Ave W
Dyersville, IA 52040
Phone (563) 875-9255

470 S Water St
Platteville, WI 53818
Phone (608) 348-3156

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1124814595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 HIGHWAY 35 N",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "610259676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1ST AVE W",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401104",
            "telephone_number": "563-875-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESSEL",
        "first_name": "JACK",
        "middle_name": "ALLEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "130556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.