The Stalk Chiropractic & Health, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE STALK CHIROPRACTIC & HEALTH, LLC

Practice address

106 W Washington St
Exira, IA 50076-7700

Phone

(712) 304-1262

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Chase Petersen, DCNPI 1144984899

Title

Owner/ Chiropractor

Phone

(712) 304-1262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chase Petersen, DC

  • Chiropractor
  • Exira, IA
  • NPI 1144984899
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1487310033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "EXIRA",
            "state": "IA",
            "postal_code": "500760284",
            "telephone_number": "712-304-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W WASHINGTON ST",
            "city": "EXIRA",
            "state": "IA",
            "postal_code": "500767700",
            "telephone_number": "712-304-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STALK CHIROPRACTIC & HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "712-304-1262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exira Fire & EMS Association Incorporated
• Exira-Ehk Community School District
• Katie L Glade, DPT
• Veronica Joy Meaike
• Chase Petersen, DC

• All providers in Exira, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.