Organization Active NPI

Geelan Chiropractic, Inc.

  • Chiropractor
  • Marion, IA
National Provider Identifier
1518112010
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04548 Issued in IA
Legal business name
GEELAN CHIROPRACTIC, INC.
Practice address
360 7TH Ave
Marion, IA 52302-5771
Phone
(319) 377-6369
Fax
(319) 377-9430
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Jessica Mueller
Title
Office Manager
Phone
(319) 377-6369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 04548 IA Primary

Addresses

Primary practice location

360 7TH Ave
Marion, IA 52302-5771

Mailing address

360 7TH Ave
Marion, IA 52302-5771
Phone (319) 377-6369

Other identifiers 1

IdentifierTypeStateIssuer
0131961MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090105000563 IA Part B Supplier - Clinic/Group Practice 6800959610 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, IA

National Provider Directory

National Provider Directory

Locations

360 7th Ave
Marion, IA 52302
Phone (319) 377-6369

Practitioners & affiliated clinicians

Practitioners 1

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": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1518112010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 7TH AVE",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025771",
            "telephone_number": "319-377-6369",
            "fax_number": "319-377-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 7TH AVE",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025771",
            "telephone_number": "319-377-6369",
            "fax_number": "319-377-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEELAN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "319-377-6369"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131961",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.