Central Iowa Chiropractic, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

081193 Issued in IA

Legal business name

CENTRAL IOWA CHIROPRACTIC, LLC

Practice address

107 Hwy 69
Suite 2
Huxley, IA 50124-0095

Phone

(515) 597-4022

NPI assigned

Nov 14, 2016

Last updated

Mar 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Henderson

Title

Owner

Phone

(515) 597-4022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Iowa Chiropractic, LLC

  dba Baxter Chiropractic

  • Chiropractor
  • Baxter, IA
  • NPI 1144743915

  O20170616001610

  Same enrollment

Locations

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.

• Mark J Den Hartog, DC

  • Chiropractor
  • Eugene, OR
  • NPI 1023081155
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1477095099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N US HIGHWAY 69",
            "address_2": "SUITE 2",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501249723",
            "telephone_number": "515-597-4022",
            "fax_number": "515-597-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HWY 69",
            "address_2": "SUITE 2",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501240095",
            "telephone_number": "515-597-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-597-4022"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IA",
            "license": "081193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ballard C.S.D.
• Ballard Dental Associates (Slater Dental Office)
• Ballard Physical Therapy & Sports Medicine PLLC
• Michael Christopher Brixius, PHARMD
• Terry Linn Burk, DC
• Central Iowa Hospital Corporation (Huxley Family Physicians)
• Miranda Christensen, PA-C
• City of Huxley (Huxley Ambulance Service)
• Robert William Drew, M.S.P.T.
• Alexus Flaherty

• Preferred Provider Organization in Huxley, IA
• Providers in Huxley, IA by specialty
• Preferred Provider Organization in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.