NPIMap

Organization Active NPI

Lifestream Chiropractic Clinic

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1205279254
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007623 Issued in IA
Legal business name
LIFESTREAM CHIROPRACTIC CLINIC
Practice address
7195 NW 54TH Ave
Urbandale, IA 50322-6915
Phone
(563) 210-9128
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Joseph O'Tool, D.C.
Title
Manager
Phone
(563) 210-9128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007623 IA Primary

Addresses

Primary practice location

7195 NW 54TH Ave
Urbandale, IA 50322-6915

Mailing address

7195 NW 54TH Ave
Urbandale, IA 50322-6915
Phone (563) 210-9128

National Provider Directory

National Provider Directory
Tax ID family
Lifestream Chiropractic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1205279254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 NW 54TH AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503226915",
            "telephone_number": "563-210-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 NW 54TH AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503226915",
            "telephone_number": "563-210-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "O'TOOL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-210-9128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.