Active NPI
Breitbach Office LLC
- Chiropractor
- Charles City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BREITBACH OFFICE LLC
- Practice address
- 119 N Jackson St
Charles City, IA 50616-2002 - Phone
- (641) 228-1665
- NPI assigned
- Feb 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Breitbach
- Title
- Office Coordin & Register Agent LLC
- Phone
- (641) 228-1665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
119 N Jackson St
Charles City, IA 50616-2002
Mailing address
119 N Jackson St
Charles City, IA 50616-2002
Phone (641) 228-1665
Other names 1
- Breitbach Chiropractic Office
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0384551 | Breitbach Chiropractic Office | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
119 N Jackson St
Charles City, IA 50616
Phone (641) 228-1665
119 N Jackson St
Ofc Llc
Charles City, IA 50616
Phone (641) 228-1665
904 Ferguson St
Charles City, IA 50616
Phone (515) 228-1665
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charles City, IA
- NPI 1851471643
-
- Chiropractor
- Charles City, IA
- NPI 1912087719
-
- Chiropractor
- Charles City, IA
- NPI 1700966595
-
- Chiropractor
- Viroqua, WI
- NPI 1437342607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1609468669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 N JACKSON ST",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506162002",
"telephone_number": "641-228-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N JACKSON ST",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506162002",
"telephone_number": "641-228-1665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREITBACH OFFICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-10",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A",
"authorized_official_last_name": "BREITBACH",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OFFICE COORDIN & REGISTER AGENT LLC",
"authorized_official_telephone_number": "641-228-1665"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Breitbach Chiropractic Office",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Breitbach Chiropractic Office",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charles City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.