Mosaic Chiropractic and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007690 Issued in IA

Legal business name

MOSAIC CHIROPRACTIC AND WELLNESS

Practice address

1732 S Washington Blvd
Camanche, IA 52730-1713

Phone

(562) 249-3391

NPI assigned

Mar 30, 2015

Last updated

Apr 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Marie Spencer, D.C.NPI 1194110809

Title

Chiropractor

Phone

(563) 249-3391

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Theresa Spencer, D.C

  • Chiropractor
  • Camanche, IA
  • NPI 1194110809
  Authorized official Same address or phone
• James Christopher Boysen, D.C.

  • Chiropractor
  • Camanche, IA
  • NPI 1710071550
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1174918882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 25TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527321906",
            "telephone_number": "563-249-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 S WASHINGTON BLVD",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527301713",
            "telephone_number": "562-249-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-249-3391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camanche Physical Therapy Rehab Services
• City of Camanche
• John E Dixon, M.D.
• James C Boysen, DC, PC
• Gary Paul Low, DDS
• Gary William Parsons, D.C.
• Mark Alan Parsons, D.C.
• Tamara Sue Schmitt
• Theresa Spencer, D.C

• Chiropractor in Camanche, IA
• Providers in Camanche, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.