Organization Active NPI

Health Source Inc

Doing business as Wyant Spinal Clinic

  • Chiropractor
  • Mapleton, IA
National Provider Identifier
1205809456
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05786 Issued in IA
Legal business name
HEALTH SOURCE INC
Doing business as
Wyant Spinal Clinic
Practice address
421 Main St
Mapleton, IA 51034-1212
Phone
(712) 882-1977
NPI assigned
Feb 8, 2006
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Dr. Thomas E WyantNPI 1417920661
Title
Chiropractor
Phone
(712) 882-1977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05786 IA Primary

Addresses

Primary practice location

421 Main St
Mapleton, IA 51034-1212

Mailing address

421 Main St
PO Box 181
Mapleton, IA 51034-0181
Phone (712) 882-1977

Other names 1

  • Wyant Spinal Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1205809456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MAIN ST",
            "address_2": "PO BOX 181",
            "city": "MAPLETON",
            "state": "IA",
            "postal_code": "510340181",
            "telephone_number": "712-882-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MAIN ST",
            "city": "MAPLETON",
            "state": "IA",
            "postal_code": "510341212",
            "telephone_number": "712-882-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "WYANT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "712-882-1977",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyant Spinal Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mapleton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.