Organization Active NPI

Back to Health Chiropractic Care PC

  • Chiropractor
  • Hawarden, IA
National Provider Identifier
1477600211
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06247 Issued in IA
Legal business name
BACK TO HEALTH CHIROPRACTIC CARE PC
Practice address
827 Central Ave
Hawarden, IA 51023-2231
Phone
(712) 551-4242
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Ryan Patrick Schwiesow, D.C.NPI 1154391423
Title
President
Phone
(712) 551-4242

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 06247 IA Primary

Addresses

Primary practice location

827 Central Ave
Hawarden, IA 51023-2231

Mailing address

827 Central Ave
Hawarden, IA 51023-2231
Phone (712) 551-4242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070514000097 IA Part B Supplier - Clinic/Group Practice 2668579400 Receives reassigned benefits from 1 practitioner
Practice locations: Hawarden, IA; Ireton, IA

National Provider Directory

National Provider Directory

Locations

827 Central Ave
Hawarden, IA 51023
Phone (712) 551-4242

318 Main St
Ireton, IA 51027
Phone (712) 278-1011

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1477600211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 CENTRAL AVE",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510232231",
            "telephone_number": "712-551-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CENTRAL AVE",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510232231",
            "telephone_number": "712-551-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "SCHWIESOW",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-551-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawarden, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.