Pudenz Family Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PUDENZ FAMILY CHIROPRACTIC CLINIC

Practice address

322 W 3Rd St
Suite B
Carroll, IA 51401-2708

Phone

(563) 726-2785

NPI assigned

Jun 25, 2012

Organization subpart

No

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

Authorized official

Name

Jason Michael PudenzNPI 1548523111

Title

President

Phone

(563) 726-2785

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

• Jason Michael Pudenz, DC

  • Chiropractor
  • Carroll, IA
  • NPI 1548523111
  Medicare reassignment NPD Authorized official
• Jacob Davis, L.M.T.

  • Massage Therapist
  • Carroll, IA
  • NPI 1578980306
  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1376807339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W 3RD ST",
            "address_2": "SUITE B",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W 3RD ST",
            "address_2": "SUITE B",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012708",
            "telephone_number": "563-726-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUDENZ FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "PUDENZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-726-2785"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad E Pick, DC
• Anna Pietig
• Pinnacle Health Facilities Xvii LP
• Diane M Pinneke, LISW
• Sarah Ann Potthoff, D.C.
• Daphne Ann Pudenz, M.D.
• Jason Michael Pudenz, DC
• Carly M. Quam, DO
• Shaun Steven Quam, DO
• Natalie Queen

• All providers in Carroll, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.