Garnavillo Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

081991 Issued in IA

Legal business name

GARNAVILLO CHIROPRACTIC LLC

Practice address

104 S Main
Garnavillo, IA 52049

Phone

(563) 581-2768

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Jordan M Meyer, DCNPI 1396198289

Title

Owner

Phone

(563) 581-2768

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Michael Meyer, D.C.

  • Chiropractor
  • Freeport, IL
  • NPI 1396198289

  Chiropractor, IA

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1366938565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "GARNAVILLO",
            "state": "IA",
            "postal_code": "520490342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MAIN",
            "city": "GARNAVILLO",
            "state": "IA",
            "postal_code": "52049",
            "telephone_number": "563-581-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNAVILLO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-581-2768",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "081991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G & G Living Centers, Inc
• G & G Living Centers, Inc.
• G & G Living Centers, Inc.
• Guttenberg Municipal Hospital
• Tower Living Center

• All providers in Garnavillo, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.