Organization Active NPI

Reetz Chiropractic Clinic

  • Chiropractor
  • Manchester, IA
National Provider Identifier
1457615908
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05878 Issued in IA
Legal business name
REETZ CHIROPRACTIC CLINIC
Practice address
115 W Main St
Manchester, IA 52057-1535
Phone
(563) 927-2961
Fax
(563) 927-3846
NPI assigned
Jun 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Dr. Mark A Reetz, DCNPI 1386680833
Title
Ower
Phone
(563) 927-2961

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X A05878 IA Primary

Addresses

Primary practice location

115 W Main St
Manchester, IA 52057-1535

Mailing address

115 W Main St
Manchester, IA 52057-1535
Phone (563) 927-2961

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1457615908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571535",
            "telephone_number": "563-927-2961",
            "fax_number": "563-927-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571535",
            "telephone_number": "563-927-2961",
            "fax_number": "563-927-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REETZ CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "REETZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "563-927-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

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