Organization Active NPI

Banning Chiropractic Group Inc

  • Chiropractor
  • Waukee, IA
National Provider Identifier
1134532021
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BANNING CHIROPRACTIC GROUP INC
Practice address
215 N Warrior LN Ste a
Waukee, IA 50263-8313
Phone
(515) 978-0333
NPI assigned
Jun 9, 2014
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Cale Jonathan Banning, D.C.NPI 1497723191
Title
Owner/Chiropractor
Phone
(515) 978-0333

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
Chiropractor 111N00000X IA Primary

Addresses

Primary practice location

215 N Warrior LN Ste a
Waukee, IA 50263-8313

Mailing address

215 N Warrior LN Ste a
Waukee, IA 50263-8313
Phone (515) 978-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140729000780 IA Part B Supplier - Clinic/Group Practice 5294951208 Receives reassigned benefits from 1 practitioner
Practice locations: Waukee, IA

National Provider Directory

National Provider Directory

Locations

215 N Warrior Ln
Ste A
Waukee, IA 50263
Phone (515) 978-0333

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": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1134532021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N WARRIOR LN STE A",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638313",
            "telephone_number": "515-978-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N WARRIOR LN STE A",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638313",
            "telephone_number": "515-978-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNING CHIROPRACTIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "BANNING",
        "authorized_official_first_name": "CALE",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "515-978-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.