Organization Active NPI

Pearl City Chiropractic LLC

  • Chiropractor
  • Muscatine, IA
National Provider Identifier
1326788175
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEARL CITY CHIROPRACTIC LLC
Practice address
228 W 2ND St
Muscatine, IA 52761-3738
Phone
(563) 263-3800
Fax
(563) 263-3801
NPI assigned
Mar 30, 2022
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Ashley Richenberger, DCNPI 1376173815
Title
Owner/Chiropractor
Phone
(563) 263-3800

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 Primary

Addresses

Primary practice location

228 W 2ND St
Muscatine, IA 52761-3738

Mailing address

228 W 2ND St
Muscatine, IA 52761-3738
Phone (563) 263-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421001775 IA Part B Supplier - Clinic/Group Practice 0345637369 Receives reassigned benefits from 3 practitioners
Practice locations: Muscatine, IA

National Provider Directory

National Provider Directory

Locations

370 Mulberry St
Wapello, IA 52653
Phone (319) 523-5521

Practitioners & affiliated clinicians

Practitioners 3

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": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1326788175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W 2ND ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613738",
            "telephone_number": "563-263-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 2ND ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527613738",
            "telephone_number": "563-263-3800",
            "fax_number": "563-263-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "RICHENBERGER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "563-263-3800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.