Organization Active NPI

Altoona Chiropractic Center PC

  • Chiropractor
  • Altoona, IA
National Provider Identifier
1396940045
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04459 Issued in IA
Legal business name
ALTOONA CHIROPRACTIC CENTER PC
Practice address
705 2ND Ave SW
Altoona, IA 50009-1726
Phone
(515) 967-3996
Fax
(515) 967-6809
NPI assigned
Jun 20, 2007
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Penny Willson
Title
Office Manager
Phone
(515) 967-3996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04459 IA Primary

Addresses

Primary practice location

705 2ND Ave SW
Altoona, IA 50009-1726

Mailing address

705 2ND Ave SW
Altoona, IA 50009-1726
Phone (515) 967-3996

National Provider Directory

National Provider Directory

Locations

705 2nd Ave SW
Altoona, IA 50009
Phone (515) 967-3396

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1396940045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 2ND AVE SW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091726",
            "telephone_number": "515-967-3996",
            "fax_number": "515-967-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 2ND AVE SW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091726",
            "telephone_number": "515-967-3996",
            "fax_number": "515-967-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTOONA CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "WILLSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "515-967-3996"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.