Active NPI
Cale Jonathan Banning, D.C.
- Chiropractor
- Waukee, IA
National Provider Identifier
1497723191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06625
- Practice address
- 215 N Warrior LN
Suite a
Waukee, IA 50263-8313 - Phone
- (515) 978-0333
- Fax
- (515) 978-0334
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06625 | IA | Primary |
Addresses
Primary practice location
215 N Warrior LN
Suite a
Waukee, IA 50263-8313
Mailing address
215 N Warrior LN
Suite a
Waukee, IA 50263-8313
Phone (515) 978-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39069 | Other | IA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031217000039 | IA | Practitioner - Chiropractic | 6305743469 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
440 Laurel St
Waukee, IA 50263-7704
Phone (515) 978-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06625 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Back & Neck Care Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Clinton, IA
- NPI 1336196195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1497723191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N WARRIOR LN",
"address_2": "SUITE A",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638313",
"telephone_number": "515-978-0333",
"fax_number": "515-978-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N WARRIOR LN",
"address_2": "SUITE A",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638313",
"telephone_number": "515-978-0333",
"fax_number": "515-978-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNING",
"first_name": "CALE",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39069",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.