Preston Family Chiropractic LLC
Organization Active NPI Chiropractor · Preston, IA
NPI 1497599385 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1497599385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- PRESTON FAMILY CHIROPRACTIC LLC
- Practice address
- 12 W Gillet St
Preston, IA 52069-7709 - Phone
- (563) 212-0887
- NPI assigned
- Jun 24, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Alex Jeffrey Hinerichsen, DC
- Title
- Owner
- Phone
- (563) 212-0887
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240826000961 | IA | Part B Supplier - Clinic/Group Practice | 9931648771 |
Receives reassigned benefits from 1 practitioner Practice locations: Preston, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
12 W Gillet St
Preston, IA 52069-7709
Mailing address
12 W Gillet St
Preston, IA 52069-7709
Phone (563) 212-0887
Other providers in Preston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.