NPIMap

Organization Active NPI

Fountain Chiropractic Clinic, Inc.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1447508015
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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.NPI 1790843936
Title
Owner
Phone
(563) 582-5185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06478 IA Primary

Addresses

Primary practice location

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

Mailing address

2728 Asbury Rd.
Suite 920
Dubuque, IA 52001-2970
Phone (563) 582-5185

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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": []
}

Other providers in Dubuque, IA

Sources for this page

  • 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.