Iowa Chiropractic and Performance Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007400 Issued in IA

Legal business name

IOWA CHIROPRACTIC AND PERFORMANCE CENTER

Practice address

410 1St Ave
Coralville, IA 52241-2406

Phone

(319) 351-9460

Fax

(319) 768-7089

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Conrad Stalheim, DCNPI 1972893105

Title

Owner/Chiropractor

Phone

(319) 351-9460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Conrad Stalheim, D.C.

  • Chiropractor
  • Coralville, IA
  • NPI 1972893105
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1386907202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 1ST AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412406",
            "telephone_number": "319-351-9460",
            "fax_number": "319-768-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 1ST AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412406",
            "telephone_number": "319-351-9460",
            "fax_number": "319-768-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA CHIROPRACTIC AND PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "STALHEIM",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "319-351-9460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinity Skin Care & Spa LLC
• Integrated Wellness Counseling Center
• Introna Corporation
• Adam Introna, DC
• Iowa Audiology & Hearing Aid Centers Inc
• Iowa City Plastic Surgery LLC
• Iowa CVS Pharmacy LLC
• Iowa Dental Health Professionals, P.C.
• Iowa Eye Prosthetics Inc
• Iowa Eye Prosthetics, Inc.

• Chiropractor in Coralville, IA
• Providers in Coralville, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.