Southeast Iowa Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007267 Issued in IA

Legal business name

SOUTHEAST IOWA CHIROPRACTIC LLC

Practice address

104 Elmdale Ave
Ottumwa, IA 52501-1234

Phone

(641) 682-4476

Fax

(641) 682-4476

NPI assigned

Feb 15, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nathan D Overturf, D.C.NPI 1619282001

Title

Owner

Phone

(641) 682-4476

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nathan D Overturf, D.C.

  • Chiropractor
  • Ottumwa, IA
  • NPI 1619282001
  NPD (past) Authorized official

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1609376730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ELMDALE AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011234",
            "telephone_number": "641-682-4476",
            "fax_number": "641-682-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ELMDALE AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525011234",
            "telephone_number": "641-682-4476",
            "fax_number": "641-682-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST IOWA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "OVERTURF",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-682-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002556",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Snow, RN
• William S Snyder III, FNP
• Jason John Sothman, D.C.
• South Side Drug Inc
• South Side Drug Inc
• Southeast Iowa Kidney Care, Hypertension and Medicine Clinic, LLC
• Southern Iowa Economic Development Assoc
• Southern Iowa Family Planning Clinic, Inc.
• Southern Iowa Mental Health Center
• Southern Iowa Mental Health Center

• Chiropractor in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.