Organization Active NPI

Paul Chiropractic, LLC

  • Chiropractor
  • Armstrong, IA
National Provider Identifier
1477095420
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007663 Issued in IA
Legal business name
PAUL CHIROPRACTIC, LLC
Practice address
430 6TH St
Armstrong, IA 50514-7432
Phone
(712) 868-4900
Fax
(712) 868-4901
NPI assigned
Nov 8, 2016
Last updated
Nov 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dr. Matthew S Paul, D.C.NPI 1326484965
Title
Chiropractor, Owner
Phone
(712) 868-4900

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
Chiropractor 111N00000X 007663 IA Primary

Addresses

Primary practice location

430 6TH St
Armstrong, IA 50514-7432

Mailing address

430 6TH St
PO Box 216
Armstrong, IA 50514-7432
Phone (712) 868-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170203002039 IA Part B Supplier - Clinic/Group Practice 9739462490 Receives reassigned benefits from 1 practitioner
Practice locations: Armstrong, IA

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, 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": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1477095420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 6TH ST",
            "address_2": "PO BOX 216",
            "city": "ARMSTRONG",
            "state": "IA",
            "postal_code": "505147432",
            "telephone_number": "712-868-4900",
            "fax_number": "712-868-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 6TH ST",
            "city": "ARMSTRONG",
            "state": "IA",
            "postal_code": "505147432",
            "telephone_number": "712-868-4900",
            "fax_number": "712-868-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "712-868-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Armstrong, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.