Austin Michael Havertape

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

123307 Issued in IA

Practice address

410 Ashton PL NE Ste B
Cedar Rapids, IA 52402-8339

Phone

(319) 364-6387

Fax

(319) 364-4646

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark a. Havertape P.C.Group PAC ID 3678542446, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark a. Havertape P.C.

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1831297472
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1255104899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 ASHTON PL NE STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524028339",
            "telephone_number": "319-364-6387",
            "fax_number": "319-364-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 ASHTON PL NE STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524028339",
            "telephone_number": "319-364-6387",
            "fax_number": "319-364-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERTAPE",
        "first_name": "AUSTIN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "123307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maysar Hassan, MD
• Shauna Rae Hatchitt, ARNP
• Ross Hauser
• April Lynn Haven, ARNP
• Craig Allan Havermann, PTA
• Mark Allan Havertape, D.C.
• Norma Havlik-Smith
• Patrick J Hawkes, M.D.
• Hawkeye Anesthesia PLLC
• Kelly Hawthorne

• Chiropractor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.