Active NPI
Rexroth Chiropractic Center
- Chiropractor
- West Burlington, IA
National Provider Identifier
1174853915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04045
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04045 | IA | Primary |
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0432146 | Medicaid | IA | |
| 0026021 | Medicaid | IA |
Other names 1
- Rexroth Chiropractic Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- West Burlington, IA
- NPI 1407829807
-
- Chiropractor
- West Burlington, IA
- NPI 1396717369
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.