NPIMap

Organization Active NPI

Ideal Chiropractic Health Center LLC

  • Preferred Provider Organization
  • Dubuque, IA
National Provider Identifier
1447598719
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
007431 Issued in IA
Legal business name
IDEAL CHIROPRACTIC HEALTH CENTER LLC
Practice address
2200 JFK Rd
Suite 100
Dubuque, IA 52002-2840
Phone
(563) 845-7283
Fax
(563) 845-7284
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Ryan EffertzNPI 1760614192
Title
Owner
Phone
(608) 512-8862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 007431 IA Primary
Preferred Provider Organization 305R00000X 007413 IA

Addresses

Primary practice location

2200 JFK Rd
Suite 100
Dubuque, IA 52002-2840

Mailing address

2200 JFK Rd
Suite 100
Dubuque, IA 52002-2840
Phone (563) 845-7283

National Provider Directory

National Provider Directory

Locations

2200 John F Kennedy Rd
Ste 100
Dubuque, IA 52002
Phone (563) 845-7283

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": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1447598719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JFK RD",
            "address_2": "SUITE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022840",
            "telephone_number": "563-845-7283",
            "fax_number": "563-845-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 JFK RD",
            "address_2": "SUITE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022840",
            "telephone_number": "563-845-7283",
            "fax_number": "563-845-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CHIROPRACTIC HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "EFFERTZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-512-8862",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IA",
            "license": "007431",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IA",
            "license": "007413",
            "primary": false
        }
    ],
    "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 Mar 26, 2013; 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.