Amosson Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A06072 Issued in IA

Legal business name

AMOSSON CHIROPRACTIC PC

Practice address

3510 Kimball Ave
Ste. B
Waterloo, IA 50702-5760

Phone

(319) 236-2737

NPI assigned

Sep 11, 2012

Organization subpart

No

Name

Kelly AmossonNPI 1851583694

Title

President

Phone

(319) 236-2737

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly J Amosson, DC

  • Chiropractor
  • Waterloo, IA
  • NPI 1851583694
  Medicare reassignment NPD Authorized official CHIROPRACTOR · IA
• Sandra Kay Anderson, LMT

  • Massage Therapist
  • Waterloo, IA
  • NPI 1063582856
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2012.

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1447500129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 KIMBALL AVE",
            "address_2": "STE. B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 KIMBALL AVE",
            "address_2": "STE. B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025760",
            "telephone_number": "319-236-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOSSON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "AMOSSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-236-2737"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1165753",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amazing Grace Transportation LLC
• Mary Ann Amend, ARNP
• American Homepatient, Inc.
• Amicare Pharmacy Inc
• Rachel Anne Amling, ARNP
• Kelly J Amosson, DC
• Jordan Andera
• Joseph E Anderegg, PHARMD
• Anderson Services, LLC
• Joanna Anderson, PMHNP

• All providers in Waterloo, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.