Fountain Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06478 Issued in IA

Legal business name

FOUNTAIN CHIROPRACTIC CLINIC, INC.

Practice address

2728 Asbury Rd.
Suite 920
Dubuque, IA 52001-2970

Phone

(563) 582-5185

Fax

(563) 582-3075

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lee Joseph Smith, D.C.

Title

Owner

Phone

(563) 582-5185

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Teresa Ann White, LMSW

  • Clinical Social Worker
  • Dubuque, IA
  • NPI 1568193662
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1447508015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 ASBURY RD.",
            "address_2": "SUITE 920",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520012970",
            "telephone_number": "563-582-5185",
            "fax_number": "563-582-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 ASBURY RD.",
            "address_2": "SUITE 920",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520012970",
            "telephone_number": "563-582-5185",
            "fax_number": "563-582-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-582-5185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B. Focht, O.T.
• Jeffrey D Fogle, M.D.
• Jonathan Stephen Foht, PT
• Erin Lynn Fong
• Mark Wilbur Fortson, M.D.
• Brenda Foust, RPH
• Sydney Marie Fox, ARNP
• Laura Ann Francis
• Erin Nell Fransman, DPT
• Kara Franzen, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.