Central Iowa Chiropractic, LLC
Organization Active NPI Preferred Provider Organization · Huxley, IA
NPI 1477095099 · NPPES record last updated Mar 13, 2017
Key facts
- NPI
- 1477095099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- License
- 081193 (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
- Organization subpart
- No
Authorized official
- Name
- Travis Henderson
- Title
- Owner
- Phone
- (515) 597-4022
Other NPIs on the same Medicare enrollment 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170616001610 | IA | Part B Supplier - Clinic/Group Practice | 5496023343 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baxter, IA |
National Provider Directory
Locations
107 N US Highway 69
Ste 2
Huxley, IA 50124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 081193 | IA | Yes |
Addresses
Primary practice location
107 Hwy 69
Suite 2
Huxley, IA 50124-0095
Mailing address
107 N US Highway 69
Suite 2
Huxley, IA 50124-9723
Phone (515) 597-4022
Other providers in Huxley, IA
- Ballard C.S.D.
- Ballard Dental Associates
- Ballard Physical Therapy & Sports Medicine PLLC
- Michael Christopher Brixius
- Terry Linn Burk
- Central Iowa Hospital Corporation
- Miranda Christensen
- City of Huxley
- Robert William Drew
- Alexus Flaherty
All providers in Huxley, IA · Preferred Provider Organization in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.