NPIMap

Organization Active NPI

Key West Chiropractic Health Center, Inc.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1568512689
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06098 Issued in IA
Legal business name
KEY WEST CHIROPRACTIC HEALTH CENTER, INC.
Practice address
2254 Flint Hill Dr
Suite 1
Dubuque, IA 52003-8097
Phone
(563) 588-9776
Fax
(563) 588-8972
NPI assigned
Jan 11, 2007
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Dr. Jennifer Rebecca Klein, D.C.NPI 1124054283
Title
Owner
Phone
(563) 588-9776

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 A06098 IA Primary

Addresses

Primary practice location

2254 Flint Hill Dr
Suite 1
Dubuque, IA 52003-8097

Mailing address

2254 Flint Hill Dr
Suite 1
Dubuque, IA 52003-8097
Phone (563) 588-9776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000795 IA Part B Supplier - Clinic/Group Practice 1951292218 Receives reassigned benefits from 1 practitioner
Practice locations: Dubuque, IA

National Provider Directory

National Provider Directory

Locations

2254 Flint Hill Dr
Ste 1
Dubuque, IA 52003
Phone (319) 588-9776

Practitioners & affiliated clinicians

Practitioners 4

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1568512689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 FLINT HILL DR",
            "address_2": "SUITE 1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038097",
            "telephone_number": "563-588-9776",
            "fax_number": "563-588-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 FLINT HILL DR",
            "address_2": "SUITE 1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520038097",
            "telephone_number": "563-588-9776",
            "fax_number": "563-588-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY WEST CHIROPRACTIC HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-588-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.