Organization Active NPI

Mariahs Family Chiropractic PC

  • Exclusive Provider Organization
  • Fort Madison, IA
National Provider Identifier
1386917706
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
007477 Issued in IA
Legal business name
MARIAHS FAMILY CHIROPRACTIC PC
Practice address
939 Avenue G
Fort Madison, IA 52627-4502
Phone
(319) 246-1759
Fax
(319) 246-1760
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Dr. Mariah Kay Rashid, D.C.
Title
Doctor of Chiropractic
Phone
(319) 246-1759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 007477 IA Primary

Addresses

Primary practice location

939 Avenue G
Fort Madison, IA 52627-4502

Mailing address

939 Avenue G
Fort Madison, IA 52627-4502
Phone (319) 246-1759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120217000032 IA Part B Supplier - Clinic/Group Practice 7113185489 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Madison, IA

National Provider Directory

National Provider Directory

Locations

939 Avenue G
Fort Madison, IA 52627
Phone (319) 246-1759

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1386917706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 AVENUE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274502",
            "telephone_number": "319-246-1759",
            "fax_number": "319-246-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 AVENUE G",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526274502",
            "telephone_number": "319-246-1759",
            "fax_number": "319-246-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAHS FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "319-246-1759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IA",
            "license": "007477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.