Active NPI
Cullinan Chiropractic P C
- Chiropractor
- Tama, IA
National Provider Identifier
1205807732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06440
- Legal business name
- CULLINAN CHIROPRACTIC P C
- Practice address
- 1210 State St
Tama, IA 52339-1640 - Phone
- (641) 484-8600
- Fax
- (641) 484-8700
- NPI assigned
- Feb 1, 2006
- Last updated
- Dec 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry Cullinan
- Title
- Owner
- Phone
- (641) 484-8600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06440 | IA | Primary |
Addresses
Primary practice location
1210 State St
Tama, IA 52339-1640
Mailing address
1210 State St
Tama, IA 52339-1640
Phone (641) 484-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255471 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1210 State St
Tama, IA 52339
Phone (641) 484-8600
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Tama, IA
- NPI 1346212719
-
- Chiropractor
- Ottumwa, IA
- NPI 1518930312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354665600000",
"number": "1205807732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 STATE ST",
"city": "TAMA",
"state": "IA",
"postal_code": "523391640",
"telephone_number": "641-484-8600",
"fax_number": "641-484-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 STATE ST",
"city": "TAMA",
"state": "IA",
"postal_code": "523391640",
"telephone_number": "641-484-8600",
"fax_number": "641-484-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CULLINAN CHIROPRACTIC P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2012-12-05",
"status": "A",
"authorized_official_last_name": "CULLINAN",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "641-484-8600",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0255471",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tama, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.