Organization Active NPI

Kay Family Chiropractic, PLLC

  • Chiropractor
  • North Liberty, IA
National Provider Identifier
1295175578
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
07655 Issued in IA
Legal business name
KAY FAMILY CHIROPRACTIC, PLLC
Practice address
710 Pacha Pkwy
Suite 4
North Liberty, IA 52317-4821
Phone
(319) 626-3500
NPI assigned
Jul 1, 2013
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Dr. Kayla Davis, D.C.NPI 1427498187
Title
Manager
Phone
(319) 640-7948

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
Chiropractor 111N00000X 07655 IA Primary

Addresses

Primary practice location

710 Pacha Pkwy
Suite 4
North Liberty, IA 52317-4821

Mailing address

710 Pacha Pkwy
Suite 4
North Liberty, IA 52317-4821
Phone (319) 626-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131119000191 IA Part B Supplier - Clinic/Group Practice 7214163450 Receives reassigned benefits from 1 practitioner
Practice locations: North Liberty, IA

National Provider Directory

National Provider Directory

Locations

710 Pacha Pkwy
Unit 4
North Liberty, IA 52317
Phone (319) 626-3500

Practitioners & affiliated clinicians

Practitioners 2

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": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1295175578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 PACHA PKWY",
            "address_2": "SUITE 4",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174821",
            "telephone_number": "319-626-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PACHA PKWY",
            "address_2": "SUITE 4",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174821",
            "telephone_number": "319-626-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAY FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-640-7948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "07655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.