Hawarden Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007606 Issued in IA

Legal business name

HAWARDEN FAMILY CHIROPRACTIC INC

Practice address

816 Central Ave
Hawarden, IA 51023-2232

Phone

(605) 951-2575

NPI assigned

Dec 14, 2016

Organization subpart

No

Name

Dr. Derek Kosters, D.C.

Title

President

Phone

(712) 722-4838

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2016.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1497299192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 CENTRAL AVE",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510232232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 CENTRAL AVE",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510232232",
            "telephone_number": "605-951-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWARDEN FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "KOSTERS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-722-4838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.