NPIMap

Organization Active NPI

BCC Inc

  • Chiropractor
  • Coralville, IA
National Provider Identifier
1154325124
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0295949 Issued in IA
Legal business name
BCC INC
Doing business as
Bakeris Family Chiropractic
Practice address
2411 Coral Court
Suite 3
Coralville, IA 52241
Phone
(319) 545-4444
Fax
(319) 545-4445
NPI assigned
Jun 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Kari A Bakeris, DCNPI 1215931241
Title
DC Secretary
Phone
(319) 545-4444

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0295949 IA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 06627 IA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 06624 IA

Addresses

Primary practice location

2411 Coral Court
Suite 3
Coralville, IA 52241

Mailing address

2411 Coral Court
Suite 3 Bakeris Family Chiropractic
Coralville, IA 52241
Phone (319) 545-4444

Other identifiers 2

IdentifierTypeStateIssuer
0295949MedicaidIA
36601OtherIABCBS

Other names 1

  • Bakeris Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000569 IA Part B Supplier - Clinic/Group Practice 3476467507 Receives reassigned benefits from 1 practitioner
Practice locations: Coralville, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1154325124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CORAL COURT",
            "address_2": "SUITE 3 BAKERIS FAMILY CHIROPRACTIC",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-545-4444",
            "fax_number": "319-545-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CORAL COURT",
            "address_2": "SUITE 3",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-545-4444",
            "fax_number": "319-545-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BAKERIS",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DC SECRETARY",
        "authorized_official_telephone_number": "319-545-4444",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "0295949",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06627",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295949",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36601",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bakeris Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.