NPIMap

Organization Active NPI

Mouw Chiropractic & Spinal Rehabilitation Center, P.C.

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1275728784
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOUW CHIROPRACTIC & SPINAL REHABILITATION CENTER, P.C.
Practice address
20 Power Dr
Suite 1
Council Bluffs, IA 51501-7701
Phone
(712) 366-1611
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Lynne A Mouw, D.C.NPI 1528047222
Title
Owner
Phone
(712) 366-1611

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IA Primary

Addresses

Primary practice location

20 Power Dr
Suite 1
Council Bluffs, IA 51501-7701

Mailing address

20 Power Dr
Suite 1
Council Bluffs, IA 51501-7701
Phone (712) 366-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041211000174 IA Part B Supplier - Clinic/Group Practice 3173580115 Receives reassigned benefits from 7 practitioners
Practice locations: Council Bluffs, IA

National Provider Directory

National Provider Directory

Locations

20 Power Dr
Ste 1
Council Bluffs, IA 51501
Phone (712) 366-1611

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1275728784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 POWER DR",
            "address_2": "SUITE 1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017701",
            "telephone_number": "712-366-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POWER DR",
            "address_2": "SUITE 1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017701",
            "telephone_number": "712-366-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUW CHIROPRACTIC & SPINAL REHABILITATION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MOUW",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-366-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.