Greater Life Chiropractic LLC – Chiropractor

Key facts

NPI: 1245760180
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
Legal business name: GREATER LIFE CHIROPRACTIC LLC
Practice address: 119 E Lincoln Way
Jefferson, IA 50129-2107
Phone: (515) 370-5022
NPI assigned: Jun 14, 2017
Organization subpart: No

Authorized official

Name: Dr. Philip Heisterkamp, D.C.
Title: Chiropractic
Phone: (515) 370-5022

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Philip Heisterkamp, D.C. Chiropractor · Jefferson, IA · NPI 1881128916

Medicare reassignment IA

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
16D2233209	Greater Life Chiropractic 119 E Lincoln Way, Jefferson, IA 50129	Certificate of waiver	Aug 19, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20171025000146	IA	Part B Supplier - Clinic/Group Practice	6305112095	Receives reassigned benefits from 1 practitioner Practice locations: Jefferson, IA

National Provider Directory

Locations

101 N Chestnut St
Jefferson, IA 50129
Phone (515) 386-3446

119 E Lincoln Way
Jefferson, IA 50129
Phone (515) 370-5022

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	111N00000X			Yes

Addresses

Primary practice location

119 E Lincoln Way
Jefferson, IA 50129-2107

Mailing address

119 E Lincoln Way
Jefferson, IA 50129-2107
Phone (515) 386-3446

Other providers in Jefferson, IA

All providers in Jefferson, IA · Chiropractor in Iowa

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.