Organization Active NPI

Rexroth Chiropractic Center

  • Chiropractor
  • West Burlington, IA
National Provider Identifier
1174853915
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04045 Issued in IA
Legal business name
REXROTH CHIROPRACTIC CENTER
Doing business as
Rexroth Chiropractic Center
Practice address
2411 W Mount Pleasant St
West Burlington, IA 52655-9614
Phone
(319) 752-4544
Fax
(319) 753-5879
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Jena Marie Wright
Title
Office Manager
Phone
(319) 752-4544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 04045 IA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 06469 IA

Addresses

Primary practice location

2411 W Mount Pleasant St
West Burlington, IA 52655-9614

Mailing address

2411 W Mount Pleasant St
West Burlington, IA 52655-9614
Phone (319) 752-4544

Other identifiers 2

IdentifierTypeStateIssuer
0432146MedicaidIA
0026021MedicaidIA

Other names 1

  • Rexroth Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1174853915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W MOUNT PLEASANT ST",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526559614",
            "telephone_number": "319-752-4544",
            "fax_number": "319-753-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W MOUNT PLEASANT ST",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526559614",
            "telephone_number": "319-752-4544",
            "fax_number": "319-753-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REXROTH CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-752-4544"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04045",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432146",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026021",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rexroth Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.