Organization Active NPI

Dennis Chiropractic, Inc

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1336415918
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05958 Issued in IA
Legal business name
DENNIS CHIROPRACTIC, INC
Practice address
3047 Center Point Rd NE
Suite C
Cedar Rapids, IA 52402-4064
Phone
(319) 362-9024
Fax
(319) 832-0888
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Douglas A Dennis, D.C.NPI 1841252236
Title
Owner
Phone
(319) 362-9024

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 A05958 IA Primary

Addresses

Primary practice location

3047 Center Point Rd NE
Suite C
Cedar Rapids, IA 52402-4064

Mailing address

3047 Center Point Rd NE
Suite C
Cedar Rapids, IA 52402-4064
Phone (319) 362-9024

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000391 IA Part B Supplier - Clinic/Group Practice 3971764341 Receives reassigned benefits from 1 practitioner
Practice locations: Hiawatha, IA

National Provider Directory

National Provider Directory

Locations

3047 Center Point Rd NE
Ste C
Cedar Rapids, IA 52402
Phone (319) 362-9024

Practitioners & affiliated clinicians

Practitioners 1

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": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1336415918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 CENTER POINT RD NE",
            "address_2": "SUITE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024064",
            "telephone_number": "319-362-9024",
            "fax_number": "319-832-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 CENTER POINT RD NE",
            "address_2": "SUITE C",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024064",
            "telephone_number": "319-362-9024",
            "fax_number": "319-832-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-362-9024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.