Individual provider Active NPI

Josiah Street

  • Chiropractor
  • Muscatine, IA
National Provider Identifier
1356724363
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
078974 Issued in IA
Practice address
2209 2ND Ave
Muscatine, IA 52761-5258
Phone
(563) 264-8825
NPI assigned
Jul 8, 2015
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 078974 IA Primary

Addresses

Primary practice location

2209 2ND Ave
Muscatine, IA 52761-5258

Mailing address

201 E 2ND St
Muscatine, IA 52761-4006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812008577 IA Practitioner - Chiropractic 4082929583 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Chiropractic LLCGroup PAC ID 5092185389, 2 clinicians

Practice addresses (Care Compare)

1600 Plaza PL
Muscatine, IA 52761-5364
Phone (563) 261-7502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078974IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Chiropractic LLC Chiropractor CurrentSince Nov 30, 2022 Accepting new patients
Pearl City Chiropractic LLC Chiropractor CurrentSince Jun 1, 2022 Accepting new patients
Muscatine Chiropractic Center PC Chiropractor CurrentSince Jul 11, 2015 Accepting new patients

Locations

201 E 2nd St
Muscatine, IA 52761
Phone (563) 299-1380

2209 2nd Ave
Muscatine, IA 52761
Phone (563) 264-8825

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

Organizations & group practices 3

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1356724363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 2ND ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527614006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 2ND AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615258",
            "telephone_number": "563-264-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "JOSIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "078974",
            "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 Feb 2, 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.