NPIMap

Organization Active NPI

Black & Gold Chiropractic & Wellness LLC

  • Chiropractor
  • Iowa City, IA
National Provider Identifier
1538559117
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
072778 Issued in IA
Legal business name
BLACK & GOLD CHIROPRACTIC & WELLNESS LLC
Practice address
401 S Gilbert St
Ste 101
Iowa City, IA 52240-4970
Phone
(319) 337-6000
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Jacob Young, D.C.NPI 1891109096
Title
Owner
Phone
(319) 337-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 072778 IA Primary

Addresses

Primary practice location

401 S Gilbert St
Ste 101
Iowa City, IA 52240-4970

Mailing address

401 S Gilbert St
Ste 101
Iowa City, IA 52240-4970
Phone (319) 337-6000

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": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1538559117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S GILBERT ST",
            "address_2": "STE 101",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404970",
            "telephone_number": "319-337-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GILBERT ST",
            "address_2": "STE 101",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404970",
            "telephone_number": "319-337-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK & GOLD CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-337-6000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "072778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.