Individual provider Active NPI

Mark Alan Mouw, D.C.

  • Chiropractor
  • Council Bluffs, IA
National Provider Identifier
1487633178
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06534 Issued in IA
Practice address
20 Power Dr
Suite 1
Council Bluffs, IA 51501-7734
Phone
(712) 366-1611
Fax
(712) 366-0722
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06534 IA Primary

Addresses

Primary practice location

20 Power Dr
Suite 1
Council Bluffs, IA 51501-7734

Mailing address

20 Power Dr
Suite 1
Council Bluffs, IA 51501-7734
Phone (712) 366-1611

Other identifiers 2

IdentifierTypeStateIssuer
10025239400MedicaidNE
1270090MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000841 IA Practitioner - Chiropractic 6608833645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mouw Chiropractic and Spinal Rehabilitation Center PCGroup PAC ID 3173580115, 5 clinicians

Practice addresses (Care Compare)

20 Power Dr
Suite 1
Council Bluffs, IA 51501-7701
Phone (712) 366-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mouw Chiropractic & Spinal Rehabilitation Center, P.C. Chiropractor CurrentSince Dec 1, 2004 Accepting new patients

Locations

20 Power Dr
Ste 1
Council Bluffs, IA 51501
Phone (712) 366-1611

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487633178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 POWER DR",
            "address_2": "SUITE 1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017734",
            "telephone_number": "712-366-1611",
            "fax_number": "712-366-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 POWER DR",
            "address_2": "SUITE 1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017734",
            "telephone_number": "712-366-1611",
            "fax_number": "712-366-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUW",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025239400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1270090",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.