Organization Active NPI

Reckers Family Chiropractic Services Inc

Doing business as Family Chiropractic Services Inc

  • Chiropractor
  • Monticello, IA
National Provider Identifier
1386783298
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06356 Issued in IA
Legal business name
RECKERS FAMILY CHIROPRACTIC SERVICES INC
Doing business as
Family Chiropractic Services Inc
Practice address
216 North Main Street
Suite 3
Monticello, IA 52310-1748
Phone
(319) 465-2060
Fax
(319) 465-7022
NPI assigned
Feb 6, 2007
Last updated
Jun 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Emily P Recker, D.C.NPI 1639144108
Title
President
Phone
(319) 465-2060

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
Chiropractor 111N00000X 06356 IA Primary

Addresses

Primary practice location

216 North Main Street
Suite 3
Monticello, IA 52310-1748

Mailing address

216 North Main Street
Suite 3
Monticello, IA 52310-1748
Phone (319) 465-2060

Other identifiers 4

IdentifierTypeStateIssuer
42905OtherIABLUE CROSS BLUE SHIELD
240394OtherIAMIDLANDS CHOICE
2192489OtherIAFIRST HEALTH
0246835MedicaidIA

Other names 1

  • Family Chiropractic Services Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050919000410 IA Part B Supplier - Clinic/Group Practice 0446283527 Receives reassigned benefits from 2 practitioners
Practice locations: Monticello, IA

National Provider Directory

National Provider Directory

Locations

216 N Main St
Ste 3
Monticello, IA 52310
Phone (319) 465-2060

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1386783298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NORTH MAIN STREET",
            "address_2": "SUITE 3",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101748",
            "telephone_number": "319-465-2060",
            "fax_number": "319-465-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NORTH MAIN STREET",
            "address_2": "SUITE 3",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101748",
            "telephone_number": "319-465-2060",
            "fax_number": "319-465-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECKERS FAMILY CHIROPRACTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "RECKER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-465-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42905",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "240394",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2192489",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246835",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.