Active NPI
Cameron Tracy Hart, DC
- Chiropractor
- Clive, IA
National Provider Identifier
1235147992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04913
- Practice address
- 8355 University Blvd
Ste H
Clive, IA 50325-1162 - Phone
- (515) 225-4422
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04913 | IA | Primary |
Addresses
Primary practice location
8355 University Blvd
Ste H
Clive, IA 50325-1162
Mailing address
8355 University Blvd
Ste H
Clive, IA 50325-1162
Phone (515) 225-4422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06753 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1235147992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8355 UNIVERSITY BLVD",
"address_2": "STE H",
"city": "CLIVE",
"state": "IA",
"postal_code": "503251162",
"telephone_number": "515-225-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8355 UNIVERSITY BLVD",
"address_2": "STE H",
"city": "CLIVE",
"state": "IA",
"postal_code": "503251162",
"telephone_number": "515-225-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "CAMERON",
"middle_name": "TRACY",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "04913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "06753",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.