Organization Active NPI

Reetz Chiropractic Clinic, PC

  • Chiropractor
  • Manchester, IA
National Provider Identifier
1609282243
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REETZ CHIROPRACTIC CLINIC, PC
Practice address
115 W Main St
Manchester, IA 52057-1535
Phone
(563) 927-2961
Fax
(563) 927-3846
NPI assigned
Jul 3, 2014
Last updated
Jul 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Mark A Reetz, DCNPI 1386680833
Title
Owner
Phone
(563) 927-2961

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

115 W Main St
Manchester, IA 52057-1535

Mailing address

115 W Main St
Manchester, IA 52057-1535
Phone (563) 927-2961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805001627 IA Part B Supplier - Clinic/Group Practice 7810114410 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, IA

National Provider Directory

National Provider Directory

Locations

115 W Main St
Manchester, IA 52057
Phone (319) 927-2961

Practitioners & affiliated clinicians

Practitioners 1

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": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1609282243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571535",
            "telephone_number": "563-927-2961",
            "fax_number": "563-927-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571535",
            "telephone_number": "563-927-2961",
            "fax_number": "563-927-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REETZ CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "REETZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-927-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.