Jacob Parks, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

111774 Issued in IA

Practice address

8711 Windsor Pkwy Ste 7
Johnston, IA 50131-2296

Phone

(515) 867-2900

Fax

(515) 867-2902

NPI assigned

Feb 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Active Wellness Chiropractic & Rehabilitation, LLC.

  • Chiropractor
  • Johnston, IA
  • NPI 1417180829
  NPD
• Complete Home Wellness

  • Physical Therapist
  • Ankeny, IA
  • NPI 1881028504
  NPD (past)

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1437804580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 WINDSOR PKWY STE 7",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 WINDSOR PKWY STE 7",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312296",
            "telephone_number": "515-867-2900",
            "fax_number": "515-867-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JACOB",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "111774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Palea, OTR/L, OTD
• Camielle Lynne Palmer, MPT
• Jayce Palmer, DC
• Julie Glenn Palmer, CFY-SLP
• Meghan Ashley Palmer, OTR/L
• David James Parr
• Kyra Pastor, BCBA
• Pathways to Growth Psychotherapy LLC
• Jillane Elise Paul, R.PH.
• Allison Jean Peel, DC, DACBR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.