Organization Active NPI

Meador Chiropractic, Inc.

  • Chiropractor
  • Fairfield, IA
National Provider Identifier
1316093867
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06137 Issued in IA
Legal business name
MEADOR CHIROPRACTIC, INC.
Practice address
1100 W Burlington Ave Ste 3
Fairfield, IA 52556-2858
Phone
(641) 209-1990
Fax
(641) 209-1990
NPI assigned
Jan 26, 2007
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dr. Christopher Pat Meador, D.C.NPI 1396821898
Title
Owner
Phone
(641) 209-1990

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 A06137 IA Primary

Addresses

Primary practice location

1100 W Burlington Ave Ste 3
Fairfield, IA 52556-2858

Mailing address

1100 W Burlington Ave Ste 3
Fairfield, IA 52556-2858
Phone (641) 209-1990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070215000122 IA Part B Supplier - Clinic/Group Practice 9436151750 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, IA

National Provider Directory

National Provider Directory

Locations

1100 W Burlington Ave
Ste 3
Fairfield, IA 52556
Phone (319) 293-3402

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1316093867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W BURLINGTON AVE STE 3",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562858",
            "telephone_number": "641-209-1990",
            "fax_number": "319-293-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W BURLINGTON AVE STE 3",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562858",
            "telephone_number": "641-209-1990",
            "fax_number": "641-209-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOR CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-209-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.