Organization Active NPI

Carroll Family Chiropractic Center

  • Chiropractor
  • Carroll, IA
National Provider Identifier
1174844948
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05363 Issued in IA
Legal business name
CARROLL FAMILY CHIROPRACTIC CENTER
Practice address
726 N Carroll St
Carroll, IA 51401-2367
Phone
(712) 792-1763
Fax
(712) 792-5978
NPI assigned
Jun 16, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Mary Cheboski, D.C.NPI 1003987470
Title
President
Phone
(712) 792-1763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05363 IA Primary

Addresses

Primary practice location

726 N Carroll St
Carroll, IA 51401-2367

Mailing address

PO Box 313
Carroll, IA 51401-0313
Phone (712) 792-1763

National Provider Directory

National Provider Directory

Locations

227 E 5th St
Carroll, IA 51401
Phone (712) 792-1763

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": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1174844948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514010313",
            "telephone_number": "712-792-1763",
            "fax_number": "712-792-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N CARROLL ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012367",
            "telephone_number": "712-792-1763",
            "fax_number": "712-792-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "CHEBOSKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-792-1763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.