CK Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CK FAMILY CHIROPRACTIC, LLC

Practice address

1756 1St Ave NE Ste 2
Cedar Rapids, IA 52402-5490

Phone

(319) 200-2553

Fax

(319) 200-2553

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Claire Christianson

Title

DC

Phone

(310) 200-2553

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Claire Kellen

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1083347629
  Medicare reassignment NPD

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1528795200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 1ST AVE NE STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025490",
            "telephone_number": "319-200-2553",
            "fax_number": "319-200-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 1ST AVE NE STE 2",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025490",
            "telephone_number": "319-200-2553",
            "fax_number": "319-200-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "310-200-2553"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483259300",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ck.family.chiropractic@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1756 1st Ave NE Ste 2",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524025490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Ryan Chute, BS
• Jordyn Cimmiyotti
• City Line LLC
• CJK Pharmacy, LLC (CR Care Pharmacy)
• CJK Pharmacy, LLC (CR Care Pharmacy)
• Sara Jean Claeys
• Joanna L Clancy, DMD
• Whitney Clarahan
• Clark and Associates, Inc.
• Clark Children and Family Services

• Chiropractor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.