Cosgrove Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COSGROVE CHIROPRACTIC CLINIC LLC

Practice address

1429 Albia Rd
Ottumwa, IA 52501-3946

Phone

(641) 684-2261

Fax

(641) 684-2254

NPI assigned

Nov 15, 2007

Last updated

Feb 6, 2013By 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. Thomas Michael Cosgrove, DCNPI 1720068612

Title

Owner

Phone

(641) 684-2261

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Thomas M Cosgrove

  • Chiropractor
  • Ottumwa, IA
  • NPI 1720068612
  NPD Authorized official

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1407037765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013946",
            "telephone_number": "641-684-2261",
            "fax_number": "641-684-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013946",
            "telephone_number": "641-684-2261",
            "fax_number": "641-684-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSGROVE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "COSGROVE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-684-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289660",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.