Organization Active NPI

Fort Dodge Chiropractic Center PLC

  • Chiropractor
  • Fort Dodge, IA
National Provider Identifier
1447432505
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007025 Issued in IA
Legal business name
FORT DODGE CHIROPRACTIC CENTER PLC
Practice address
1214 Central Ave
Fort Dodge, IA 50501-4246
Phone
(515) 576-3322
Fax
(515) 576-2133
NPI assigned
Nov 30, 2007
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Amanda Patrice Blanchard, D.C.
Title
Owner
Phone
(515) 576-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007025 IA Primary

Addresses

Primary practice location

1214 Central Ave
Fort Dodge, IA 50501-4246

Mailing address

1214 Central Ave
Fort Dodge, IA 50501-4246
Phone (515) 576-3322

National Provider Directory

National Provider Directory

Locations

1214 Central Ave
Fort Dodge, IA 50501
Phone (515) 576-3322

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1447432505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 CENTRAL AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014246",
            "telephone_number": "515-576-3322",
            "fax_number": "515-576-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 CENTRAL AVE",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014246",
            "telephone_number": "515-576-3322",
            "fax_number": "515-576-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DODGE CHIROPRACTIC CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-576-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.