Council Bluffs Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04263 Issued in IA

Legal business name

COUNCIL BLUFFS CHIROPRACTIC CLINIC LLC

Practice address

126 E Broadway
Suite 2
Council Bluffs, IA 51503-4409

Phone

(712) 322-3544

Fax

(712) 322-3545

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roger C Dahlgaard, DC

Title

Owner

Phone

(712) 322-3544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1497933451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E BROADWAY",
            "address_2": "SUITE 2",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034409",
            "telephone_number": "712-322-3544",
            "fax_number": "712-322-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E BROADWAY",
            "address_2": "SUITE 2",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034409",
            "telephone_number": "712-322-3544",
            "fax_number": "712-322-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL BLUFFS CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "DAHLGAARD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-322-3544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198234",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Convenient Care Medical Group, PLLC
• John Francis Cool
• Daniela Cortes Reyes, MD
• Patrick T. Costello, M.D.
• Yvonne A Cotton, APRN
• Council Bluffs Community Health Center
• Council Bluffs Community School District
• Council Bluffs Foot & Ankle Care PC
• Council Bluffs Senior Care, LLC
• Council Bluffs Surgical Associates, P.C.

• Chiropractor in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.