Organization Active NPI

Rardin Chiropractic PLLC

  • Chiropractor
  • Greenfield, IA
National Provider Identifier
1346645546
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06922 Issued in IA
Legal business name
RARDIN CHIROPRACTIC PLLC
Practice address
112 NE Hayes St
Greenfield, IA 50849-1048
Phone
(641) 743-5756
NPI assigned
Oct 30, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Dr. Joshua Amyas Rardin, D.C.NPI 1417024365
Title
President
Phone
(641) 990-9530

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06965 IA
Chiropractor 111N00000X 06922 IA Primary

Addresses

Primary practice location

112 NE Hayes St
Greenfield, IA 50849-1048

Mailing address

112 NE Hayes St
Greenfield, IA 50849-1048
Phone (641) 743-5756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150119000078 IA Part B Supplier - Clinic/Group Practice 1355665589 Receives reassigned benefits from 1 practitioner
Practice locations: Greenfield, IA

National Provider Directory

National Provider Directory

Locations

112 NE Hayes St
Greenfield, IA 50849
Phone (641) 743-2756

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": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1346645546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NE HAYES ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508491048",
            "telephone_number": "641-743-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NE HAYES ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508491048",
            "telephone_number": "641-743-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARDIN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "RARDIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "AMYAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-990-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06965",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.