Individual provider Active NPI

Jerome Leo Carew, DC

  • Chiropractor
  • Coralville, IA
National Provider Identifier
1417060997
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05429 Issued in IA
Practice address
2451 Coral CT Ste 2
Coralville, IA 52241-2837
Phone
(319) 337-2335
Fax
(319) 337-2353
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X A05429 IA
Chiropractor 111N00000X A05429 IA Primary

Addresses

Primary practice location

2451 Coral CT Ste 2
Coralville, IA 52241-2837

Mailing address

2451 Coral CT Ste 2
Coralville, IA 52241-2837
Phone (319) 337-2335

Other identifiers 2

IdentifierTypeStateIssuer
1285155MedicaidIA
28515OtherIABCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000027 IA Practitioner - Chiropractic 3274525647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carew Chiropractic IncGroup PAC ID 2860484235, 2 clinicians

Practice addresses (Care Compare)

2451 Coral CT
Suite 2
Coralville, IA 52241-2837
Phone (319) 337-2335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05429IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carew Chiropractic Inc Orthopedic CurrentSince Jan 1, 2003 Accepting new patients

Locations

2411 2nd St
Coralville, IA 52241
Phone (319) 337-2335

2411 2nd St
Ste 1
Coralville, IA 52241
Phone (319) 337-2335

2451 Coral Ct
Ste 2
Coralville, IA 52241
Phone (319) 337-2335

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1417060997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CORAL CT STE 2",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412837",
            "telephone_number": "319-337-2335",
            "fax_number": "319-337-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CORAL CT STE 2",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412837",
            "telephone_number": "319-337-2335",
            "fax_number": "319-337-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREW",
        "first_name": "JEROME",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IA",
            "license": "A05429",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285155",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "28515",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.