Organization Active NPI

Crain Chiropractic Corporation

  • Chiropractor
  • Indianola, IA
National Provider Identifier
1326475294
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05403 Issued in IA
Legal business name
CRAIN CHIROPRACTIC CORPORATION
Practice address
213 W Salem Ave
Indianola, IA 50125-2420
Phone
(515) 961-9111
Fax
(515) 961-5440
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dale Crain, DCNPI 1144399544
Title
Member
Phone
(515) 961-9111

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 A05403 IA Primary

Addresses

Primary practice location

213 W Salem Ave
Indianola, IA 50125-2420

Mailing address

213 W Salem Ave
Indianola, IA 50125-2420
Phone (515) 961-9111

Other names 1

  • CRAIN CHIROPRACTIC CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140129002018 IA Part B Supplier - Clinic/Group Practice 7113156878 Receives reassigned benefits from 1 practitioner
Practice locations: Indianola, IA

National Provider Directory

National Provider Directory

Locations

213 W Salem Ave
Indianola, IA 50125
Phone 51572489202420

Practitioners & affiliated clinicians

Practitioners 1

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": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1326475294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W SALEM AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252420",
            "telephone_number": "515-961-9111",
            "fax_number": "515-961-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W SALEM AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252420",
            "telephone_number": "515-961-9111",
            "fax_number": "515-961-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIN CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "515-961-9111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRAIN CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianola, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.