Advance Chiropractic Clinic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06368 Issued in IA

Legal business name

ADVANCE CHIROPRACTIC CLINIC P.C.

Practice address

6401 Douglas Ave Ste 12
Urbandale, IA 50322-3350

Phone

(515) 278-0363

Fax

(515) 278-0445

NPI assigned

Jun 2, 2008

Last updated

Jun 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Coons, D.C.NPI 1205930880

Title

President

Phone

(515) 278-0363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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.

• Robert A Coons, D.C.

  • Chiropractor
  • Urbandale, IA
  • NPI 1205930880
  Medicare reassignment NPD Authorized official
• Timothy Russell Sexton, D.C.

  • Chiropractor
  • Des Moines, IA
  • NPI 1235225947
  NPD (past)
• Ryan Dale Hasenclever, DC

  • Chiropractor
  • Bentonville, AR
  • NPI 1922111897
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1407014822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 DOUGLAS AVE STE 12",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223350",
            "telephone_number": "515-278-0363",
            "fax_number": "515-278-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 DOUGLAS AVE STE 12",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223350",
            "telephone_number": "515-278-0363",
            "fax_number": "515-278-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "COONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-278-0363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Joy Accurso, DPT
• Acs Medical LLC
• Active Medical Supplies, Inc
• Advanced Chiropractic Urbandale PLLC
• Advanced Eyecare Center, PC
• Advanced Rehab Technologies, Inc.
• Advanced Spine Health Center
• Aetna Health of Iowa Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.