Organization Active NPI

New Sharon Chiropractic P.C.

  • Chiropractor
  • New Sharon, IA
National Provider Identifier
1144675166
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007344 Issued in IA
Legal business name
NEW SHARON CHIROPRACTIC P.C.
Practice address
301 S Main St
New Sharon, IA 50207-9211
Phone
(641) 637-2270
NPI assigned
Apr 27, 2016
Last updated
Apr 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Dr. Benjamin John Carlson, D.C.NPI 1780999151
Title
Owner
Phone
(515) 419-3377

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 007344 IA Primary

Addresses

Primary practice location

301 S Main St
New Sharon, IA 50207-9211

Mailing address

301 S Main St
P.O. Box 424
New Sharon, IA 50207-9211
Phone (641) 637-2270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180507001595 IA Part B Supplier - Clinic/Group Practice 8921362583 Receives reassigned benefits from 1 practitioner
Practice locations: New Sharon, IA

National Provider Directory

National Provider Directory

Locations

301 S Main St
New Sharon, IA 50207
Phone (641) 637-2270

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": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1144675166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "address_2": "P.O. BOX 424",
            "city": "NEW SHARON",
            "state": "IA",
            "postal_code": "502079211",
            "telephone_number": "641-637-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "NEW SHARON",
            "state": "IA",
            "postal_code": "502079211",
            "telephone_number": "641-637-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SHARON CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-419-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Sharon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.