Active NPI
Prairielands Chiropractic Clinic P.C.
- Chiropractor
- Council Bluffs, IA
National Provider Identifier
1477837615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007034
- Legal business name
- PRAIRIELANDS CHIROPRACTIC CLINIC P.C.
- Practice address
- 300 W Broadway
Suite 712
Council Bluffs, IA 51503-9078 - Phone
- (712) 256-2561
- Fax
- (712) 256-1927
- NPI assigned
- Oct 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tonweya Willow Langille, D.C.
- Title
- Doctor
- Phone
- (712) 256-2561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007034 | IA | Primary |
Addresses
Primary practice location
300 W Broadway
Suite 712
Council Bluffs, IA 51503-9078
Mailing address
300 W Broadway
Suite 712
Council Bluffs, IA 51503-9078
Phone (712) 256-2561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400821 | Medicaid | IA | |
| 10025584600 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
300 W Broadway
Ste 712
Council Bluffs, IA 51503
Phone (712) 256-2561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318464000000",
"number": "1477837615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W BROADWAY",
"address_2": "SUITE 712",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039078",
"telephone_number": "712-256-2561",
"fax_number": "712-256-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W BROADWAY",
"address_2": "SUITE 712",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039078",
"telephone_number": "712-256-2561",
"fax_number": "712-256-1927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIELANDS CHIROPRACTIC CLINIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-13",
"status": "A",
"authorized_official_last_name": "LANGILLE",
"authorized_official_first_name": "TONWEYA",
"authorized_official_middle_name": "WILLOW",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "712-256-2561",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "007034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0400821",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025584600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
- Mikaela Posekany, LMHC, PLMHP
- Pottawattamie County
- Pottawattamie County Targeted Medicaid Case Management
- Aubre Nicole Powers, MD
- Eliot Pozehl
- Premere Rehab LLC (Infinity Rehab)
- Premise Health of Iowa Medical P C (Caesars Health Center Council Bluffs)
- Charles Pribyl
- Edward N Prikaszczikow, DPM
- Jane Prine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.