NPIMap

Organization Active NPI

Vandenhout Chiropractic PLC

  • Chiropractor
  • Mount Pleasant, IA
National Provider Identifier
1194335299
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VANDENHOUT CHIROPRACTIC PLC
Practice address
520 S Grand Ave
Mount Pleasant, IA 52641-1843
Phone
(563) 468-1819
NPI assigned
Aug 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Zackery Vandenhout, D.C.NPI 1710455068
Title
Chief Manager
Phone
(563) 468-1819

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

520 S Grand Ave
Mount Pleasant, IA 52641-1843

Mailing address

520 S Grand Ave
Mount Pleasant, IA 52641-1843
Phone (563) 468-1819

Other names 1

  • Cox Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200831002204 IA Part B Supplier - Clinic/Group Practice 8022435411 Receives reassigned benefits from 3 practitioners
Practice locations: Mount Pleasant, IA

National Provider Directory

National Provider Directory

Practitioners 3

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": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1194335299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S GRAND AVE",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526411843",
            "telephone_number": "563-468-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S GRAND AVE",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526411843",
            "telephone_number": "563-468-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDENHOUT CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "VANDENHOUT",
        "authorized_official_first_name": "ZACKERY",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "563-468-1819",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cox Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cox Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.