Docside Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007234 Issued in IA

Legal business name

DOCSIDE CHIROPRACTIC LLC

Practice address

1134 Front St
Suite 200, Box 327
Buffalo, IA 52728-7763

Phone

(563) 823-8836

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Colleen C Reed-Dittmar, DCNPI 1255562773

Title

Chiropractor

Phone

(563) 823-8836

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Cathryn Reed-Dittmar, DC

  • Chiropractor
  • Buffalo, IA
  • NPI 1255562773
  Medicare reassignment Authorized official
• Cara A Weber, D.P.T.

  • Physical Therapist
  • Belleview, FL
  • NPI 1891742359
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1134454473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 FRONT ST",
            "address_2": "SUITE 200, PO BOX 327",
            "city": "BUFFALO",
            "state": "IA",
            "postal_code": "527287763",
            "telephone_number": "563-823-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 FRONT ST",
            "address_2": "SUITE 200, BOX 327",
            "city": "BUFFALO",
            "state": "IA",
            "postal_code": "527287763",
            "telephone_number": "563-823-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCSIDE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "REED-DITTMAR",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-823-8836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Beitzel, L.M.T.
• Trey Nygren, PA-C
• Colleen Cathryn Reed-Dittmar, DC
• Riverwalk Health Services Inc.
• Riverwalk Rehab Inc
• Kara Nichole Shannon, D.C

• Chiropractor in Buffalo, IA
• Providers in Buffalo, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.