NPIMap

Organization Active NPI

Eagle Grove Chiropractic PLC

  • Chiropractor
  • Eagle Grove, IA
National Provider Identifier
1194774620
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05314 Issued in IA
Legal business name
EAGLE GROVE CHIROPRACTIC PLC
Practice address
318 W Boradway St
Eagle Grove, IA 50533-1712
Phone
(515) 448-3387
Fax
(515) 448-4356
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Gregory J Burmeister, DC
Title
Chiropractor
Phone
(515) 448-3387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05314 IA Primary

Addresses

Primary practice location

318 W Boradway St
Eagle Grove, IA 50533-1712

Mailing address

318 W Boradway St
Eagle Grove, IA 50533-1712
Phone (515) 448-3387

Other identifiers 2

IdentifierTypeStateIssuer
0257709MedicaidIA
26467OtherBCBS

Other names 1

  • Eagle Grove Chiropractic PLC Former legal business name

National Provider Directory

National Provider Directory

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1194774620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W BORADWAY ST",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505331712",
            "telephone_number": "515-448-3387",
            "fax_number": "515-448-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W BORADWAY ST",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505331712",
            "telephone_number": "515-448-3387",
            "fax_number": "515-448-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE GROVE CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "BURMEISTER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "515-448-3387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257709",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Grove Chiropractic PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eagle Grove, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.