Individual provider Active NPI

Justin Allen Fisher, DC

  • Chiropractor
  • Center Point, IA
National Provider Identifier
1316260292
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007285 Issued in IA
Practice address
208 Franklin St
Center Point, IA 52213-7604
Phone
(319) 849-1064
Fax
(319) 849-1732
NPI assigned
Mar 8, 2010
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007285 IA Primary

Addresses

Primary practice location

208 Franklin St
Center Point, IA 52213-7604

Mailing address

PO Box 262
Center Point, IA 52213-0262
Phone (319) 849-1064

Other identifiers 2

IdentifierTypeStateIssuer
1316260292OtherIAWELLMARK
1316260292MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100504000205 IA Practitioner - Chiropractic 7911035407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 Franklin St
Center Point, IA 52213-7604
Phone (319) 849-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007285IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Chiropractic Health & Wellness Chiropractor Past Accepting new patients
Active Health Chiropractic SP PLLC Chiropractor Past Accepting new patients
Caring Chiropractic, P.C. Chiropractor Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1316260292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522130262",
            "telephone_number": "319-849-1064",
            "fax_number": "319-849-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FRANKLIN ST",
            "city": "CENTER POINT",
            "state": "IA",
            "postal_code": "522137604",
            "telephone_number": "319-849-1064",
            "fax_number": "319-849-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JUSTIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "1316260292",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316260292",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.