NPIMap

Organization Active NPI

Optimum Health Chiropractic, PLC

  • Clinic/Center
  • Clear Lake, IA
National Provider Identifier
1508026329
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
007088 Issued in IA
Legal business name
OPTIMUM HEALTH CHIROPRACTIC, PLC
Practice address
506 Main Ave
Clear Lake, IA 50428-1829
Phone
(641) 357-1211
Fax
(641) 357-1213
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Nicholas David McColley, DC
Title
Owner
Phone
(641) 357-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 007088 IA Primary

Addresses

Primary practice location

506 Main Ave
Clear Lake, IA 50428-1829

Mailing address

506 Main Ave
Clear Lake, IA 50428-1829
Phone (641) 357-1211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1508026329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MAIN AVE",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281829",
            "telephone_number": "641-357-1211",
            "fax_number": "641-357-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MAIN AVE",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281829",
            "telephone_number": "641-357-1211",
            "fax_number": "641-357-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MCCOLLEY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-357-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "007088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clear Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.