Organization Active NPI

Tubaugh Family Chiropractic Clinic

  • Chiropractor
  • Centerville, IA
National Provider Identifier
1144952607
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TUBAUGH FAMILY CHIROPRACTIC CLINIC
Doing business as
Jaren Tubaugh
Practice address
1114 N Haynes Ave
Centerville, IA 52544-1134
Phone
(641) 437-4433
Fax
(641) 437-7333
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Jeff Prater
Title
Office Assistant
Phone
(641) 437-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1114 N Haynes Ave
Centerville, IA 52544-1134

Mailing address

1114 N Haynes Ave
Centerville, IA 52544-1134
Phone (641) 437-4433

Other identifiers 1

IdentifierTypeStateIssuer
0232264MedicaidIA

Other names 1

  • Jaren Tubaugh Doing business as

National Provider Directory

National Provider Directory

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": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1144952607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N HAYNES AVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441134",
            "telephone_number": "641-437-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N HAYNES AVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441134",
            "telephone_number": "641-437-4433",
            "fax_number": "641-437-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUBAUGH FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "641-437-4433"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232264",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaren Tubaugh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.