NPIMap

Organization Active NPI

My Chiro, L.L.C.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1366717894
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06025 Issued in IA
Legal business name
MY CHIRO, L.L.C.
Practice address
3221 16TH Ave SW
Cedar Rapids, IA 52404-1434
Phone
(319) 721-8728
NPI assigned
Mar 16, 2012
Last updated
Mar 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Authorized official

Name
Bruce Howard Weisbein, D.C.NPI 1972576965
Title
President
Phone
(319) 396-2300

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 A06025 IA Primary

Addresses

Primary practice location

3221 16TH Ave SW
Cedar Rapids, IA 52404-1434

Mailing address

3221 16TH Ave SW
Cedar Rapids, IA 52404-1434
Phone (319) 721-8728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000368 IA Part B Supplier - Clinic/Group Practice 9931355161 Receives reassigned benefits from 11 practitioners
Practice locations: Cedar Rapids, IA; Marion, IA; Des Moines, IA; Hiawatha, IA

National Provider Directory

National Provider Directory

Locations

3221 16th Ave SW
Cedar Rapids, IA 52404
Phone (319) 294-0000

6905 C Ave NE
Cedar Rapids, IA 52402
Phone (312) 929-4000

3623 Douglas Ave
Des Moines, IA 50310
Phone (510) 279-0930

137 E Boyson Rd
Hiawatha, IA 52233
Phone (319) 294-0000

503 7th Ave
Marion, IA 52302
Phone (319) 396-2300

107 N Main St
Mt Pleasant, IA 52641
Phone (319) 201-1900

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1366717894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 16TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041434",
            "telephone_number": "319-721-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 16TH AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041434",
            "telephone_number": "319-721-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHIRO, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A",
        "authorized_official_last_name": "WEISBEIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-396-2300",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06025",
            "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 8, 2025; 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.