Organization Active NPI

Innate Health Chiropractic PLLC

  • Chiropractor
  • North Liberty, IA
National Provider Identifier
1386244283
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INNATE HEALTH CHIROPRACTIC PLLC
Practice address
6 Hawkeye Dr Ste 105
North Liberty, IA 52317-8904
Phone
(563) 508-5358
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Ryan Weintraub
Title
Owner
Phone
(563) 508-5358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

6 Hawkeye Dr Ste 105
North Liberty, IA 52317-8904

Mailing address

3020 4TH St Apt 9
Moline, IL 61265-5965

National Provider Directory

National Provider Directory

Locations

6 Hawkeye Dr
Ste 105
North Liberty, IA 52317
Phone (563) 508-5358

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1386244283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 4TH ST APT 9",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HAWKEYE DR STE 105",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178904",
            "telephone_number": "563-508-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-508-5358"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.