Organization Active NPI

Fairbank Chiropractic LLC

Doing business as Fairbank Chiropractic

  • Chiropractor
  • Fairbank, IA
National Provider Identifier
1184098972
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
080259 Issued in IA
Legal business name
FAIRBANK CHIROPRACTIC LLC
Doing business as
Fairbank Chiropractic
Practice address
114 Forest St
Suite 6
Fairbank, IA 50629-7713
Phone
(319) 849-5155
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Nathan Carl Steinbronn, DCNPI 1871966325
Title
Doctor
Phone
(319) 849-5155

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 080259 IA Primary

Addresses

Primary practice location

114 Forest St
Suite 6
Fairbank, IA 50629-7713

Mailing address

114 Forest St
Suite 6
Fairbank, IA 50629-7713
Phone (319) 849-5155

Other names 1

  • Fairbank Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151210001303 IA Part B Supplier - Clinic/Group Practice 9830490150 Receives reassigned benefits from 1 practitioner
Practice locations: Fairbank, IA

National Provider Directory

National Provider Directory

Locations

101 S 4th St
Ste C
Fairbank, IA 50629
Phone (319) 849-5155

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": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1184098972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FOREST ST",
            "address_2": "SUITE 6",
            "city": "FAIRBANK",
            "state": "IA",
            "postal_code": "506297713",
            "telephone_number": "319-849-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 FOREST ST",
            "address_2": "SUITE 6",
            "city": "FAIRBANK",
            "state": "IA",
            "postal_code": "506297713",
            "telephone_number": "319-849-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "STEINBRONN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "319-849-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "080259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairbank Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbank, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.