Organization Active NPI

Stevens Family Chiropractic, P.C.

  • Chiropractor
  • North Liberty, IA
National Provider Identifier
1134497100
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007456 Issued in IA
Legal business name
STEVENS FAMILY CHIROPRACTIC, P.C.
Practice address
225 Beaver Kreek Ctr
Suite B
North Liberty, IA 52317-9287
Phone
(507) 923-5763
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Joseph R Stevens, D.C.NPI 1336425420
Title
President
Phone
(507) 923-5763

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 007456 IA Primary

Addresses

Primary practice location

225 Beaver Kreek Ctr
Suite B
North Liberty, IA 52317-9287

Mailing address

1010 240TH St NE
Unit 8
North Liberty, IA 52317-9132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000572 IA Part B Supplier - Clinic/Group Practice 7517127988 Receives reassigned benefits from 1 practitioner
Practice locations: North Liberty, IA

National Provider Directory

National Provider Directory

Locations

225 Beaver Kreek Ctr
Unit B
North Liberty, IA 52317
Phone (319) 626-2006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1134497100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 240TH ST NE",
            "address_2": "UNIT 8",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BEAVER KREEK CTR",
            "address_2": "SUITE B",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179287",
            "telephone_number": "507-923-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-923-5763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.