Advanced Spine & Extremity Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06742 Issued in IA

Legal business name

ADVANCED SPINE & EXTREMITY CLINIC INC

Practice address

6015 University Ave
Cedar Falls, IA 50613-5598

Phone

(319) 277-9755

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Jason Rose, D.C.

Title

Doctor

Phone

(319) 277-9755

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Michael Conlin, D.C.

  • Chiropractor
  • Cedar Falls, IA
  • NPI 1861777237
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1497971907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 UNIVERSITY AVE",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135598",
            "telephone_number": "319-277-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 UNIVERSITY AVE",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135598",
            "telephone_number": "319-277-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE & EXTREMITY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "319-277-9755",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454702",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Ackerman
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• Kent Herbert Addleman, L.AC.
• Agape Therapy Clinic PC
• Elana Aldrich, MSW, LISW
• Samantha Alexander, DPT
• Maja Alicic, ST
• Align Chiropractic & Wellness Inc.

• All providers in Cedar Falls, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.