Individual provider Active NPI

Alyssa Newman, DC

  • Chiropractor
  • Center Point, IA
National Provider Identifier
1144743014
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
087621 Issued in IA
Practice address
4515 Lewis Access Rd Suite 700
Center Point, IA 52213-5221
Phone
(319) 540-4002
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 087621 IA Primary

Addresses

Primary practice location

4515 Lewis Access Rd Suite 700
Center Point, IA 52213-5221

Mailing address

3317 56TH Street TRL
Center Point, IA 52213-9267
Phone (319) 540-4002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106002690 IA Practitioner - Chiropractic 7517223621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4215 Lewis Access Rd
Suite 700
Center Point, IA 52213-9502
Phone (319) 343-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087621IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Family Chiropractic Chiropractor CurrentSince Aug 3, 2017 Accepting new patients

Locations

4215 Lewis Access Rd
Ste 700
Center Point, IA 52213
Phone (319) 215-6473

Organizations & group practices 1

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1144743014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 56TH STREET TRL",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522139267",
            "telephone_number": "319-540-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 LEWIS ACCESS RD SUITE 700",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522135221",
            "telephone_number": "319-540-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "087621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.