Organization Active NPI

Danville Chiropractic PC

  • Chiropractor
  • Danville, IA
National Provider Identifier
1508195447
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
022 A06046 Issued in IA
Legal business name
DANVILLE CHIROPRACTIC PC
Practice address
204 N. Main, Box 236
Danville, IA 52623-0236
Phone
(319) 392-8567
Fax
(319) 392-4553
NPI assigned
Dec 23, 2009
Last updated
Dec 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Cynthia A Grothe, D.C.NPI 1750454724
Title
Chiropractor
Phone
(319) 392-8567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 022 A06046 IA Primary

Addresses

Primary practice location

204 N. Main, Box 236
Danville, IA 52623-0236

Mailing address

204 N. Main, Box 236
Danville, IA 52623-0236
Phone (319) 392-8567

Other identifiers 1

IdentifierTypeStateIssuer
40653OtherIAWELLMARK BLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1508195447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N. MAIN, BOX 236",
            "city": "DANVILLE",
            "state": "IA",
            "postal_code": "526230236",
            "telephone_number": "319-392-8567",
            "fax_number": "319-392-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N. MAIN, BOX 236",
            "city": "DANVILLE",
            "state": "IA",
            "postal_code": "526230236",
            "telephone_number": "319-392-8567",
            "fax_number": "319-392-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "GROTHE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "319-392-8567",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "022 A06046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "40653",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.